Organization Active NPI

Sabates Eye Centers LLC

  • Ophthalmology Physician
  • Independence, MO
National Provider Identifier
1790749810
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
SABATES EYE CENTERS LLC
Practice address
4741 S Arrowhead Dr
Independence, MO 64055-6957
Phone
(913) 261-2020
Fax
(913) 261-2090
NPI assigned
Apr 14, 2006
Last updated
Nov 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joseph Pravoot GiraNPI 1861481152
Title
Cmo
Phone
(314) 909-0633

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X Primary

Addresses

Primary practice location

4741 S Arrowhead Dr
Independence, MO 64055-6957

Mailing address

11261 Nall Ave
Leawood, KS 66211-1675
Phone (913) 261-2020

Other identifiers 1

IdentifierTypeStateIssuer
500580303MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040309000989 MO Part B Supplier - Clinic/Group Practice 3971491093 Receives reassigned benefits from 26 practitioners
Practice locations: Kansas City, MO; Saint Joseph, MO; Independence, MO
O20040809000445 KS Part B Supplier - Clinic/Group Practice 3971491093 Receives reassigned benefits from 28 practitioners
Practice locations: Leawood, KS; Overland Park, KS; Topeka, KS

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

3800 W 75th St
Prairie Village, KS 66208
Phone (913) 261-2010

2101 Charlotte St
Ste 230
Kansas City, MO 64108
Phone (816) 404-9067

2101 Charlotte St
Ste 450
Kansas City, MO 64108
Phone (816) 404-1679

Practitioners & affiliated clinicians

Practitioners 30

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 30

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1790749810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11261 NALL AVE",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111675",
            "telephone_number": "913-261-2020",
            "fax_number": "913-671-3225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4741 S ARROWHEAD DR",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640556957",
            "telephone_number": "913-261-2020",
            "fax_number": "913-261-2090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SABATES EYE CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-14",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A",
        "authorized_official_last_name": "GIRA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "PRAVOOT",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "314-909-0633"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500580303",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.