Discover Vision Surgery & Laser Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

S046022 Issued in KS

Legal business name

DISCOVER VISION SURGERY & LASER CENTER LLC

Doing business as

Discover Vision Surgery & Laser Center

Practice address

11500 Granada St
Leawood, KS 66211-1453

Phone

(816) 350-6902

Fax

(816) 350-6907

NPI assigned

Aug 23, 2005

Last updated

Feb 16, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

EYE CARE, LLCAs reported in NPPES

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

Authorized official

Name

Melinda Hamilton

Title

Executive Assistant

Phone

(816) 350-4536

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Discover Vision Surgery & Laser Center Doing business as

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Listed as

Discover Vision Surgery and Laser Center LLCCCN 17C0001062

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Eye Care LLC

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Eye Care LLC

  dba Discover Vision Centers

  • Ophthalmology Physician
  • Independence, MO
  • NPI 1750374567

  Member Of

  NPD member

Locations

Practitioners 3

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.

• Carmeta Denise Shaw-Jones, CRNA

  • Certified Registered Nurse Anesthetist
  • Leawood, KS
  • NPI 1205932308
  Medicare reassignment NPD
• James W. Flood, CRNA,MA

  • Certified Registered Nurse Anesthetist
  • North Kansas City, MO
  • NPI 1255311759

  KS

  Medicare reassignment NPD
• John Frederick Doane, MD

  • Ophthalmology Physician
  • Leawood, KS
  • NPI 1851384119
  NPD

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644969600000",
    "number": "1871586149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 S CLIFF AVE",
            "address_2": "SUITE 100",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640557015",
            "telephone_number": "816-350-6902",
            "fax_number": "816-350-6907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11500 GRANADA ST",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111453",
            "telephone_number": "816-350-6902",
            "fax_number": "816-350-6907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISCOVER VISION SURGERY & LASER CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EYE CARE, LLC",
        "enumeration_date": "2005-08-23",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_title_or_position": "EXECUTIVE ASSISTANT",
        "authorized_official_telephone_number": "816-350-4536"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "KS",
            "license": "S046022",
            "primary": true
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00089387",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Discover Vision Surgery & Laser Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Discover Vision Surgery & Laser Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dickson Diveley Midwest Orthopaedic Clinic LLC
• Nancy Diehl, PT
• Jeffrey Rhodes Dillow, M.D.
• Dinkel Chiropractic and Acupuncture, PA
• Adam J Dinkel, DC
• Brian J Divelbiss, MD
• Linda Divine, LSCSW
• Kent Carson Doan, MD
• John Frederick Doane, MD
• Maggie Docking

• Ambulatory Surgical Clinic/Center in Leawood, KS
• Providers in Leawood, KS by specialty
• Ambulatory Surgical Clinic/Center in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.