Active NPI
Alicia Genilo, OD
- Optometrist
- Lees Summit, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2019017140
- Practice address
- 3660 NE Ralph Powell Rd
Lees Summit, MO 64064-2357 - Phone
- (816) 524-7400
- NPI assigned
- Jun 1, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Columbia, MO
- NPI 1669530887
-
- Optometrist
- Mission, KS
- NPI 1720253271
-
- Optometrist
- Olathe, KS
- NPI 1124299250
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Paige Hedgpath OdpcAcuity Vision Center LLC
Practice addresses (Care Compare)
1400 Forum Blvd
Suite 14
Columbia, MO 65203-1997
Phone (573) 446-0331
3660 NE Ralph Powell Rd
Lees Summit, MO 64064-2357
Phone (816) 524-7400
5820 Lamar Ave
Mission, KS 66202-2612
Phone (913) 432-7676
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190620003051 | MO | Practitioner - Optometry | 8921332297 | Reassigns benefits to 1 organization |
| I20190821000246 | KS | Practitioner - Optometry | 8921332297 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2019017140 | MO | MD | Optometrist |
| 2099 | KS | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acuity Vision Center LLC | Optometrist | Current | Accepting new patients |
| Paige Hedgpath Odpc | Optometrist | Current | Accepting new patients |
| Paige Hedgpath OD,PC | Optometrist | Current | Accepting new patients |
| Brill Eye Center LLC | Optometrist | Past | Accepting new patients |
| Insight Vision Center LLC | Optometrist | Past | Accepting new patients |
Locations
15601 W 87th Street Pkwy
Lenexa, KS 66219
Phone (913) 406-1809
5820 Lamar Ave
Mission, KS 66202
Phone (913) 432-7676
5820 Lamar Ave
Ste 100
Mission, KS 66202
Phone (913) 432-7676
11114 S Lone Elm Rd
Olathe, KS 66061
Phone (913) 390-6700
1400 Forum Blvd
Ste 14
Columbia, MO 65203
Phone (573) 446-0331
323 Monroe St
Jefferson Cty, MO 65101
Phone (573) 635-1313
3660 NE Ralph Powell Rd
Lees Summit, MO 64064
Phone (816) 524-7400
Interoperability endpoints
- agenilo@customeyeskc1.eyefinity-direct.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2019017140 | MO | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
3660 NE Ralph Powell Rd
Lees Summit, MO 64064-2357
Mailing address
13120 King St
Overland Park, KS 66213-4483
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 1, 2019.
{
"created_epoch": "1559347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559347200000",
"number": "1962060293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13120 KING ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662134483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3660 NE RALPH POWELL RD",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640642357",
"telephone_number": "816-524-7400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENILO",
"first_name": "ALICIA",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-01",
"last_updated": "2019-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MO",
"license": "2019017140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lees Summit, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.