NPIMap

Organization Active NPI

Coble Eye Associates,P.a.

  • Optometrist
  • Kansas City, KS
National Provider Identifier
1982802740
Registry record updated Nov 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
COBLE EYE ASSOCIATES,P.A.
Practice address
9501 State Ave
Suite 2
Kansas City, KS 66111-1872
Phone
(913) 299-7200
NPI assigned
Jul 3, 2007
Last updated
Nov 4, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2009

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

Authorized official

Name
Dr. Mark G Coble, ODNPI 1053307702
Title
Owner
Phone
(913) 299-7200

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

9501 State Ave
Suite 2
Kansas City, KS 66111-1872

Mailing address

9501 State Ave
Suite 2
Kansas City, KS 66111-1872
Phone (913) 299-7200

Other identifiers 1

IdentifierTypeStateIssuer
32078011OtherKSBLUE CROSS BLUE SHIELD OF KANSAS CITY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20091027000018 KS Part B Supplier - Clinic/Group Practice 2961549878 Receives reassigned benefits from 3 practitioners
Practice locations: Kansas City, KS
O20100930022694 KS DME Supplier - Physician - OptometristDME Supplier - Optician 2961549878 Practice locations: Kansas City, KS

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Coble Eye Associates9501 State Ave, Kansas City, KS 66111-1871(913) 299-7200 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Mar 1, 2003

National Provider Directory

National Provider Directory

Locations

9501 State Ave
Ste 2
Kansas City, KS 66111
Phone (913) 299-7200

Practitioners & affiliated clinicians

Practitioners 23

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 23

NPI Registry JSON

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257292800000",
    "number": "1982802740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9501 STATE AVE",
            "address_2": "SUITE 2",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661111872",
            "telephone_number": "913-299-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9501 STATE AVE",
            "address_2": "SUITE 2",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661111872",
            "telephone_number": "913-299-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COBLE EYE ASSOCIATES,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2009-11-04",
        "status": "A",
        "authorized_official_last_name": "COBLE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-299-7200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF KANSAS CITY",
            "identifier": "32078011",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.