Organization Active NPI

1619 Investments Dba Mills Optometry, LLC

  • Optometrist
  • Lenexa, KS
National Provider Identifier
1992447163
Registry record updated Apr 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
1619 INVESTMENTS DBA MILLS OPTOMETRY, LLC
Practice address
9350 Marshall Dr
Lenexa, KS 66215-3845
Phone
(913) 227-3706
Fax
(913) 227-3727
NPI assigned
Apr 8, 2022
Last updated
Apr 8, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2022

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

Authorized official

Name
Brenda Joy Vanden Hull
Title
Office Manager
Phone
(913) 963-0245

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

9350 Marshall Dr
Lenexa, KS 66215-3845

Mailing address

11619 Tomahawk Creek Pkwy Apt B
Leawood, KS 66211-2640
Phone (816) 797-4700

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1649376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649376000000",
    "number": "1992447163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11619 TOMAHAWK CREEK PKWY APT B",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662112640",
            "telephone_number": "816-797-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9350 MARSHALL DR",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662153845",
            "telephone_number": "913-227-3706",
            "fax_number": "913-227-3727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1619 INVESTMENTS DBA MILLS OPTOMETRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-08",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A",
        "authorized_official_last_name": "VANDEN HULL",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "913-963-0245"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenexa, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.