NPIMap

Organization Active NPI

Eye Associates of Prairie Village,PA

  • Optometrist
  • Prairie Village, KS
National Provider Identifier
1932466513
Registry record updated May 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EYE ASSOCIATES OF PRAIRIE VILLAGE,PA
Practice address
7632 State Line Rd
Prairie Village, KS 66208-3705
Phone
(913) 642-5000
Fax
(913) 648-6915
NPI assigned
Apr 19, 2012
Last updated
May 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2020

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

Authorized official

Name
Vincent Anthony Pennipede, ODNPI 1437218484
Title
Optometrist
Phone
(913) 339-9090

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 Primary

Addresses

Primary practice location

7632 State Line Rd
Prairie Village, KS 66208-3705

Mailing address

7632 State Line Rd
Prairie Village, KS 66208
Phone (913) 642-5000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120914000016 KS Part B Supplier - Clinic/Group Practice 3072761147 Receives reassigned benefits from 16 practitioners
Practice locations: Prairie Village, KS

National Provider Directory

National Provider Directory

Locations

7632 State Line Rd
Prairie Vlg, KS 66208
Phone (913) 642-5000

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1334793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590105600000",
    "number": "1932466513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7632 STATE LINE RD",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "66208",
            "telephone_number": "913-642-5000",
            "fax_number": "913-648-6915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7632 STATE LINE RD",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662083705",
            "telephone_number": "913-642-5000",
            "fax_number": "913-648-6915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE ASSOCIATES OF PRAIRIE VILLAGE,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-19",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A",
        "authorized_official_last_name": "PENNIPEDE",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "913-339-9090",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prairie Village, KS

Sources for this page

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

Verify at the official NPI Registry.