Active NPI
Professional Eyecare Oak Park Inc.
- Optometrist
- Overland Park, KS
National Provider Identifier
1952452229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1308
- Legal business name
- PROFESSIONAL EYECARE OAK PARK INC.
- Practice address
- 11121 W 95TH St
Overland Park, KS 66214-1824 - Phone
- (913) 492-7728
- Fax
- (913) 492-5217
- NPI assigned
- Jan 15, 2007
- 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
- Denise Lorraine Royer
- Title
- Managed Care Manager
- Phone
- (913) 696-0092
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1308 | KS | Primary |
Addresses
Primary practice location
11121 W 95TH St
Overland Park, KS 66214-1824
Mailing address
11121 W 95TH St
Overland Park, KS 66214-1824
Phone (913) 492-7728
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
11433 W 87th Ter
Overland Park, KS 66214
11205 W 95th St
Overland Park, KS 66214
Phone (913) 492-7728
Practitioners & affiliated clinicians
Practitioners 9
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.
-
- Ophthalmology Physician
- Overland Park, KS
- NPI 1164819579
-
- Optometrist
- Overland Park, KS
- NPI 1184063935
-
- Optometrist
- Overland Park, KS
- NPI 1386709277
-
- Optometrist
- Overland Park, KS
- NPI 1699827543
-
- Optometrist
- Overland Park, KS
- NPI 1265597132
-
- Optometrist
- Overland Park, KS
- NPI 1427113323
-
- Optometrist
- Independence, MO
- NPI 1306246624
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168819200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1282521600000",
"number": "1952452229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11121 W 95TH ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662141824",
"telephone_number": "913-492-7728",
"fax_number": "913-492-5217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11121 W 95TH ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662141824",
"telephone_number": "913-492-7728",
"fax_number": "913-492-5217"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROFESSIONAL EYECARE OAK PARK INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-15",
"last_updated": "2010-08-23",
"status": "A",
"authorized_official_last_name": "ROYER",
"authorized_official_first_name": "DENISE",
"authorized_official_middle_name": "LORRAINE",
"authorized_official_title_or_position": "MANAGED CARE MANAGER",
"authorized_official_telephone_number": "913-696-0092"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "KS",
"license": "1308",
"primary": true
}
],
"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 Aug 23, 2010; 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.