Active NPI
Lally Vision Care, P.C.
- Optometrist
- Lee's Summit, MO
National Provider Identifier
1871608265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- T02140
- Legal business name
- LALLY VISION CARE, P.C.
- Practice address
- 101 NE Douglas St
Lees Summit, MO 64063-2037 - Phone
- (816) 524-1616
- Fax
- (816) 524-7868
- NPI assigned
- Aug 19, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Steven Eric Lally, O.D.
- Title
- President
- Phone
- (816) 524-1616
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | T02140 | MO | Primary |
Addresses
Primary practice location
101 NE Douglas St
Lees Summit, MO 64063-2037
Mailing address
101 NE Douglas St
Lees Summit, MO 64063-2037
Phone (816) 524-1616
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
101 NE Douglas St
Lees Summit, MO 64063
Phone (816) 524-1616
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Lee's Summit, MO
- NPI 1265547640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1871608265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 NE DOUGLAS ST",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640632037",
"telephone_number": "816-524-1616",
"fax_number": "816-524-7868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 NE DOUGLAS ST",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640632037",
"telephone_number": "816-524-1616",
"fax_number": "816-524-7868"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LALLY VISION CARE, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-19",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LALLY",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "ERIC",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "816-524-1616",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "MO",
"license": "T02140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lee's Summit, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.