Individual provider Active NPI

Lea A. Krannawitter, O.D.

  • Optometrist
  • Lenexa, KS
National Provider Identifier
1821062852
Registry record updated Feb 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1571 Issued in KS
Practice address
11065 Pflumm Rd.
Lenexa, KS 66215-4030
Phone
(913) 451-7007
Fax
(913) 451-7009
NPI assigned
Feb 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1571 KS Primary

Addresses

Primary practice location

11065 Pflumm Rd.
Lenexa, KS 66215-4030

Mailing address

11065 Pflumm Rd.
Lenexa, KS 66215-4030
Phone (913) 451-7007

Other names 1

  • Lea A. Johnson Former name

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
I20111219000501 KS Practitioner - Optometry 7012018492 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11065 Pflumm Rd
Lenexa, KS 66215-4030
Phone (913) 451-7007

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1571KSMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Krannawitter Eye Care PA Optometrist CurrentSince Oct 20, 2014 Accepting new patients

Locations

11065 Pflumm Rd
Lenexa, KS 66215
Phone (913) 451-7007

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": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486684800000",
    "number": "1821062852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11065 PFLUMM RD.",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662154030",
            "telephone_number": "913-451-7007",
            "fax_number": "913-451-7009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11065 PFLUMM RD.",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662154030",
            "telephone_number": "913-451-7007",
            "fax_number": "913-451-7009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRANNAWITTER",
        "first_name": "LEA",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-15",
        "last_updated": "2017-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEA",
            "last_name": "JOHNSON",
            "middle_name": "A.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lenexa, KS

Sources for this page

Verify at the official NPI Registry.