EYE SURGERY CENTER NORTHLAND, LLC (NPI# 1033162631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033162631 |
Entity Type | Organization |
Organization Name | EYE SURGERY CENTER NORTHLAND, LLC |
Practice Address |
9401 N Oak Trfy Suite 124 Kansas City MO 64155-2233 |
Mailing Address |
4801cliff Ave Suite 100 Independence MO 64055 |
Practice Telephone | 8164781230 |
Practice Fax Number | 8163504585 |
Mailing Telephone | 8164781230 |
Mailing Fax Number | 8163504585 |
Enumeration Date | 2006-05-18 |
Last Update Date | 2014-06-04 |
Authorized Official Name | MR. JAMES A DENNING (ADMINISTRATOR DISCOVER VISION CENTE) |
Authorized Official Telephone | 8164781230 |
Authorized Official Credential | CEO |
Is Organization Subpart | Y |
Parent Organization Name | EYE CARE, PC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
191 | MO | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | RAILROAD MEDICARE | P00368401 | 01 |
Street Address |
9401 N OAK TRFY SUITE 124 |
City | KANSAS CITY |
State | MO |
Zip Code | 64155-2233 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912990276 | Glen C Pate | Optometrist | 9401 N Oak Trfy, Ste 200, Kansas City, MO 64155-2233 | 2005-08-23 |
1952673329 | Paul R Torres Md PC | Surgery | 9401 N Oak Trfy, Suite 101, Kansas City, MO 64155-2233 | 2012-02-01 |
1649567892 | Michelle L Orr Md, Inc | Internal Medicine | 9401 N Oak Trfy, #101, Kansas City, MO 64155-2233 | 2011-07-07 |
1811125529 | Ross Reule | Internal Medicine | 9401 N Oak Trfy, Suite 100, Kansas City, MO 64155-2240 | 2009-07-01 |
1164548269 | Eye Care, Pa | Eyewear Supplier (Equipment, not the service) | 9401 N Oak Trfy, Suite 200, Kansas City, MO 64155-2233 | 2007-03-21 |
1154424745 | Tyler F Brundige | Ophthalmology | 9401 N Oak Trfy, Kansas City, MO 64155-2233 | 2006-09-07 |
1912933235 | Charles Edward Kavanaugh | Dentist | 9401 N Oak Trfy, Suite #120, Kansas City, MO 64155-2233 | 2006-06-26 |
1922091297 | John Charles Hagan IIi | Ophthalmology | 9401 N Oak Trfy, Ste 200, Kansas City, MO 64155-2233 | 2005-08-23 |
1952394223 | Robert C Butcher | Optometrist | 9401 N Oak Trfy, Discover Vision Centers, Kansas City, MO 64155-2233 | 2005-08-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104475383 | Margaret A Shetley | Technician | 9023 Nw Anglia Rd, Kansas City, MO 64155 | 2019-09-10 |
1477031540 | Abby Pearson | Massage Therapist | 190 Ne 90th Street, Suite 16, Kansas City, MO 64155 | 2018-08-01 |
1619408291 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1600 Nw 88th St, Kansas City, MO 64155 | 2017-03-24 |
1013322262 | Ryan Bland | Dentist | 9241 North Oak Trafficway, Kansas City, MO 64155 | 2014-06-26 |
1134540289 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 10210 N. Oak Trafficway, Suite 100-300, Kansas City, MO 64155 | 2013-12-16 |
1366875718 | Staley Dental Arts, LLC | Dentist | 506 Ne 107th Street, Kansas City, MO 64155 | 2013-08-20 |
1902137433 | Gary D Cooper | Internal Medicine | 1501 Ne 98th St, Kansas City, MO 64155 | 2010-01-22 |
1780845305 | Heather Jean Malone | Pediatrics | 8781 N. Platte Purchase Drive, Kansas City, MO 64155 | 2008-06-17 |
1639390370 | John Michael Dicapo | Physical Therapist | 1110 Ne 85 Ct, Kansas City, MO 64155 | 2007-05-01 |
1467502021 | Laurie D Riddell | Pediatrics | 8781 N Platte Purchase Dr, Kansas City, MO 64155 | 2007-01-12 |
Find all providers in zip 64155 |
Taxonomy Code | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801323191 | Ns Surgical Center LLC | Clinic/Center | 10 E Cambridge Circle Dr Ste 150, Kansas City, KS 66103-1393 | 2017-05-17 |
1023428281 | Heartland Regional Medical Center | Clinic/Center | 8860 Ne 82nd Ter, Kansas City, MO 64158-1313 | 2014-04-28 |
1942272851 | Independence Asc LLC | Clinic/Center | 9601 Ne 79th St, Kansas City, MO 64158-1117 | 2006-02-03 |
1912993833 | Surgicenter of Kansas City, LLC | Clinic/Center | 701 E 101st Terrace, Kansas City, MO 64131-4271 | 2005-09-26 |
1114929411 | Heart of America Surgery Center, LLC | Clinic/Center | 8935 State Ave, Kansas City, KS 66112-1645 | 2005-06-01 |
1023010311 | Blue Ridge Surgical Center, LLC | Clinic/Center | 4240 Blue Ridge Blvd, Ste 950, Kansas City, MO 64133-1755 | 2005-06-01 |
1124522495 | Kc Childrens Surgery Center LLC | Clinic/Center | 7848 State Ave, Kansas City, KS 66112-2417 | 2018-03-21 |
1376045146 | Saint Lukes Surgery Center Shoal Creek, LLC | Clinic/Center | 8860 Ne 82nd Ter, Kansas City, MO 64158-1313 | 2018-03-07 |
1750835179 | Total Joint Center of The Northland, LLC | Clinic/Center | 200 Ne 54th St, Suite 200, Kansas City, MO 64118 | 2016-08-15 |
1700263415 | North Point Surgery Center, LLC | Clinic/Center | 5151 Nw 88th St, Kansas City, MO 64154 | 2015-05-01 |
Find all providers in KANSAS CITY |
City | KANSAS CITY |
Zip Code | 64155 |
Please comment or provide details below to improve the information on EYE SURGERY CENTER NORTHLAND, LLC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.