Innovative Eyecare LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

TO3126 Issued in MO

Legal business name

INNOVATIVE EYECARE LLC

Doing business as

Innovative Eyecare

Practice address

8025 State Line Rd
Kansas City, MO 64114-2016

Phone

(816) 444-2393

Fax

(816) 444-2394

NPI assigned

Aug 5, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Teresa Ann Larcom, O.D.

Title

Optometrist/Owner

Phone

(816) 444-2393

Specialties & licenses 1

Addresses

Other names 1

• Innovative Eyecare Doing business as

Locations

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

{
    "created_epoch": "1249430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249430400000",
    "number": "1932330297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8025 STATE LINE RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641142016",
            "telephone_number": "816-444-2393",
            "fax_number": "816-444-2394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8025 STATE LINE RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641142016",
            "telephone_number": "816-444-2393",
            "fax_number": "816-444-2394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE EYECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-05",
        "last_updated": "2009-08-05",
        "status": "A",
        "authorized_official_last_name": "LARCOM",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "816-444-2393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MO",
            "license": "TO3126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innovative Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.