Active NPI
Senior Vision Services of Kansas
- Optometrist
- Omaha, NE
National Provider Identifier
1972553071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1539
- Legal business name
- SENIOR VISION SERVICES OF KANSAS
- Practice address
- 9239 W Center Rd
Omaha, NE 68124-1900 - Phone
- (402) 898-3232
- Fax
- (402) 898-3234
- NPI assigned
- May 11, 2006
- 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
- Lyndon Graves, O.D.
- Title
- Owner
- Phone
- (402) 898-3232
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1539 | KS | Primary |
Addresses
Primary practice location
9239 W Center Rd
Omaha, NE 68124-1900
Mailing address
PO Box 30128
Omaha, NE 68103-1228
Phone (402) 898-3232
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DB5426 | Medicaid | KS |
National Provider Directory
National Provider DirectoryLocations
1830 S Broadway St
Leavenworth, KS 66048
Phone (816) 223-1374
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Omaha, NE
- NPI 1205886736
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1972553071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 30128",
"city": "OMAHA",
"state": "NE",
"postal_code": "681031228",
"telephone_number": "402-898-3232",
"fax_number": "402-898-3234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9239 W CENTER RD",
"city": "OMAHA",
"state": "NE",
"postal_code": "681241900",
"telephone_number": "402-898-3232",
"fax_number": "402-898-3234"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SENIOR VISION SERVICES OF KANSAS",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-11",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GRAVES",
"authorized_official_first_name": "LYNDON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "402-898-3232",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "KS",
"license": "1539",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DB5426",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.