Individual provider Active NPI

Jonathan Andrew Eck, O.D.

  • Optometrist
  • Shawnee, KS
National Provider Identifier
1821229949
Registry record updated Aug 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1834 Issued in KS
Practice address
16100 W 65TH St
Shawnee, KS 66217-9301
Phone
(913) 268-3300
Fax
(913) 268-3526
NPI assigned
Aug 6, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1834 KS Primary

Addresses

Primary practice location

16100 W 65TH St
Shawnee, KS 66217-9301

Mailing address

16100 W 65TH St
Shawnee, KS 66217-9301
Phone (913) 268-3300

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
I20100330000538 KS Practitioner - Optometry 7315073251 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas City Eye Clinic, P.a.Group PAC ID 0143206102, 9 clinicians

Practice addresses (Care Compare)

7504 Antioch Rd
Overland Park, KS 66204-2622
Phone (913) 341-3100

Merit-based Incentive Payment System (MIPS)

Final score
91.59 of 100Reported as group
Quality
96.44
Improvement activities
40
Cost
76.71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas City Eye Clinic, P.a. Optometrist CurrentSince Nov 1, 2019 Accepting new patients
Kansas City Surgery Center, LLC CurrentSince Nov 1, 2019 Accepting new patients

Locations

4061 Indian Creek Pkwy
Ste 310
Overland Park, KS 66207
Phone (913) 341-3100

7504 Antioch Rd
Overland Park, KS 66204
Phone (913) 341-3100

Interoperability endpoints

  • Direct secure messaging: jeck@kceyeclinic.direct.eyemdemr.com

Organizations & group practices 2

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": "1249516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249516800000",
    "number": "1821229949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16100 W 65TH ST",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662179301",
            "telephone_number": "913-268-3300",
            "fax_number": "913-268-3526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16100 W 65TH ST",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662179301",
            "telephone_number": "913-268-3300",
            "fax_number": "913-268-3526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECK",
        "first_name": "JONATHAN",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-06",
        "last_updated": "2009-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee, KS

Sources for this page

Verify at the official NPI Registry.