Organization Active NPI

Midland Eye Care LLC

  • Clinic/Center
  • Olathe, KS
National Provider Identifier
1962282392
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MIDLAND EYE CARE LLC
Practice address
15345 W 119TH St
Olathe, KS 66062-1074
Phone
(913) 428-7911
Fax
(913) 791-0197
NPI assigned
Oct 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Authorized official

Name
Dr. Chad E. Renner, ODNPI 1841351426
Title
Optometrist/Owner
Phone
(913) 485-2104

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

15345 W 119TH St
Olathe, KS 66062-1074

Mailing address

15345 W 119TH St
Olathe, KS 66062-1074
Phone (913) 428-7911

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240325000224 KS Part B Supplier - Clinic/Group Practice 0345687554 Receives reassigned benefits from 3 practitioners
Practice locations: Olathe, KS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1696291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696291200000",
    "number": "1962282392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15345 W 119TH ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621074",
            "telephone_number": "913-428-7911",
            "fax_number": "913-791-0197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15345 W 119TH ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621074",
            "telephone_number": "913-428-7911",
            "fax_number": "913-791-0197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDLAND EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-03",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A",
        "authorized_official_last_name": "RENNER",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "913-485-2104",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; 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.