Individual provider Active NPI

Burt Schreiber, OD

  • Optometrist
  • Lenexa, KS
National Provider Identifier
1801026687
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2009018280 Issued in MO
Practice address
9350 Marshall Drive
Lenexa, KS 66215
Phone
(913) 227-3706
Fax
(913) 227-3727
NPI assigned
Jul 15, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2009018280 MO Primary

Addresses

Primary practice location

9350 Marshall Drive
Lenexa, KS 66215

Mailing address

11619 Tomahawk Creek Pkwy
Apt B
Leawood, KS 66211
Phone (816) 797-4700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150218000763 KS Practitioner - Optometry 1052452398

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1944KSMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
1619 Investments Dba Mills Optometry, LLC Optometrist CurrentSince Apr 10, 2022 Accepting new patients

Locations

9350 Marshall Dr
Lenexa, KS 66215
Phone (913) 227-3702

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1801026687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11619 TOMAHAWK CREEK PKWY",
            "address_2": "APT B",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "66211",
            "telephone_number": "816-797-4700",
            "fax_number": "913-227-3727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9350 MARSHALL DRIVE",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "66215",
            "telephone_number": "913-227-3706",
            "fax_number": "913-227-3727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHREIBER",
        "first_name": "BURT",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-15",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2009018280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenexa, KS

Sources for this page

Verify at the official NPI Registry.