Organization Active NPI

Speak Eyecare & Designer Optical, LLC

  • Optometrist
  • Overland Park, KS
National Provider Identifier
1922278647
Registry record updated May 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1469-3 Issued in KS
Legal business name
SPEAK EYECARE & DESIGNER OPTICAL, LLC
Practice address
8532 W 135TH St
Overland Park, KS 66223-1212
Phone
(913) 851-2010
Fax
(913) 948-9864
NPI assigned
Mar 10, 2008
Last updated
May 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2008

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

Authorized official

Name
Sheri Lynne Speak, O.D.NPI 1245339217
Title
Owner
Phone
(913) 851-2010

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 1469-3 KS Primary

Addresses

Primary practice location

8532 W 135TH St
Overland Park, KS 66223-1212

Mailing address

8532 W 135TH St
Overland Park, KS 66223-1212
Phone (913) 851-2010

Other identifiers 2

IdentifierTypeStateIssuer
T03176OtherMOMISSOURI LICENSE
1469-3OtherKSSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080529000099 KS Part B Supplier - Clinic/Group Practice 1355411638 Receives reassigned benefits from 1 practitioner
Practice locations: Overland Park, KS

National Provider Directory

National Provider Directory

Locations

8532 W 135th St
Overland Park, KS 66223
Phone (913) 851-2010

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1922278647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8532 W 135TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662231212",
            "telephone_number": "913-851-2010",
            "fax_number": "913-948-9864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8532 W 135TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662231212",
            "telephone_number": "913-851-2010",
            "fax_number": "913-948-9864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEAK EYECARE & DESIGNER OPTICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-10",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "SPEAK",
        "authorized_official_first_name": "SHERI",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-851-2010",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1469-3",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI LICENSE",
            "identifier": "T03176",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "1469-3",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; 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.