Organization Active NPI

Smithville Eye Center LLC

  • Optometrist
  • Smithville, MO
National Provider Identifier
1801992573
Registry record updated Jun 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
SMITHVILLE EYE CENTER LLC
Practice address
1000 S 169 Hwy
Smithville, MO 64089-9322
Phone
(816) 873-0202
Fax
(816) 817-1519
NPI assigned
Sep 16, 2006
Last updated
Jun 3, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2014

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

Authorized official

Name
Mr. Thomas L Anderson, ODNPI 1073523304
Title
Owner/Dr
Phone
(888) 749-7755

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X MO Primary

Addresses

Primary practice location

1000 S 169 Hwy
Smithville, MO 64089-9322

Mailing address

1000 S 169 Hwy
Smithville, MO 64089-9322
Phone (888) 749-7755

Other names 1

  • Smithville Eye Center Former legal business name

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20061102000593 MO Part B Supplier - Clinic/Group Practice 1254338353 Receives reassigned benefits from 9 practitioners
Practice locations: Kansas City, MO; North Kansas City, MO; Smithville, MO
O20140728002579 KS Part B Supplier - Clinic/Group Practice 1254338353 Receives reassigned benefits from 14 practitioners
Practice locations: Baldwin City, KS; Bonner Springs, KS; Clay Center, KS; Dodge City, KS; Manhattan, KS; Washington, KS

National Provider Directory

National Provider Directory

Locations

404 Ames St
Baldwin City, KS 66006
Phone (785) 594-2200

116 Cedar Ave
Bonner Springs, KS 66012
Phone (913) 422-7781

532 Lincoln Ave
Clay Center, KS 67432
Phone (785) 632-6100

534 Lincoln Ave
Clay Center, KS 67432
Phone (785) 632-6100

534 Lincoln Ave
Clay Center, KS 67432
Phone (785) 632-6100

629 W Crawford St
Clay Center, KS 67432
Phone (785) 632-6100

2405 Central Ave
Dodge City, KS 67801
Phone (316) 227-2471

2503 Central Ave
Ste C
Dodge City, KS 67801
Phone (620) 227-2471

1703 Village West Pkwy
Ste 104B
Kansas City, KS 66111
Phone (913) 942-1105

1400 Beechwood Ter
Manhattan, KS 66502
Phone (785) 320-6770

131 W Market St
Ste A
Osage City, KS 66523
Phone (620) 803-8616

8305 Melrose Dr
Overland Park, KS 66214

223 C St
Washington, KS 66968
Phone (785) 370-4733

10800 E 21st St N
Wichita, KS 67206
Phone (316) 634-1987

5900 NW 63rd Ter
Kansas City, MO 64151
Phone (816) 587-1320

1905 Swift Ave
North Kansas City, MO 64116
Phone (816) 221-5939

1000 S US Highway 169
Smithville, MO 64089
Phone (816) 873-0202

Practitioners & affiliated clinicians

Practitioners 22

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 22

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401753600000",
    "number": "1801992573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 S 169 HWY",
            "city": "SMITHVILLE",
            "state": "MO",
            "postal_code": "640899322",
            "telephone_number": "888-749-7755",
            "fax_number": "816-817-1519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S 169 HWY",
            "city": "SMITHVILLE",
            "state": "MO",
            "postal_code": "640899322",
            "telephone_number": "816-873-0202",
            "fax_number": "816-817-1519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITHVILLE EYE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2014-06-03",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/DR",
        "authorized_official_telephone_number": "888-749-7755",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smithville Eye Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Smithville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2014; 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.