Organization Active NPI

Durrie Vision, PA

  • Specialist
  • Overland Park, KS
National Provider Identifier
1932434982
Registry record updated Nov 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
04-23098 Issued in KS
Legal business name
DURRIE VISION, PA
Practice address
8300 College Blvd.
Suite 201
Overland Park, KS 66210
Phone
(913) 491-3330
Fax
(913) 491-9650
NPI assigned
Oct 8, 2009
Last updated
Nov 21, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2019

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

Authorized official

Name
Jason E. Stahl, MDNPI 1205830627
Title
Owner
Phone
(913) 491-3330

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1427-3 KS
Specialist 174400000X 04-23098 KS Primary
Specialist 174400000X 04-28638 KS

Addresses

Primary practice location

8300 College Blvd.
Suite 201
Overland Park, KS 66210

Mailing address

8300 College Blvd.
Suite 201
Overland Park, KS 66210
Phone (913) 491-3330

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250130002488 KS Part B Supplier - Clinic/Group Practice 9830157635 Receives reassigned benefits from 2 practitioners
Practice locations: Overland Park, KS

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D2176985Durrie Vision8300 College Blvd, Suite 201, Overland Park, KS 66210Certificate of waiverDec 30, 2027

National Provider Directory

National Provider Directory

Locations

8300 College Blvd
Ste 201
Overland Park, KS 66210
Phone (913) 491-3330

Practitioners & affiliated clinicians

Practitioners 8

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": "1254960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574294400000",
    "number": "1932434982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 COLLEGE BLVD.",
            "address_2": "SUITE 201",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66210",
            "telephone_number": "913-491-3330",
            "fax_number": "913-491-9650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 COLLEGE BLVD.",
            "address_2": "SUITE 201",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "66210",
            "telephone_number": "913-491-3330",
            "fax_number": "913-491-9650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DURRIE VISION, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-08",
        "last_updated": "2019-11-21",
        "status": "A",
        "authorized_official_last_name": "STAHL",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-491-3330",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1427-3",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KS",
            "license": "04-23098",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KS",
            "license": "04-28638",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Nov 21, 2019; 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.