STATE LINE EYE CARE CENTER, PC (NPI# 1174655955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174655955 |
| Entity Type | Organization |
| Organization Name | STATE LINE EYE CARE CENTER, PC |
| Other Organization Name | STATE LINE EYE CARE CENTER OPTICAL |
| Practice Address |
7701 State Line Rd Kansas City MO 64114-1635 |
| Practice Telephone | 8164442900 |
| Practice Fax Number | 8164443341 |
| Mailing Telephone | 8164442900 |
| Mailing Fax Number | 8164443341 |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2008-08-01 |
| Authorized Official Name | MR. ROLAND SABATES (PRESIDENT) |
| Authorized Official Telephone | 8164442900 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | STATE LINE EYE CARE CENTER, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | BCBS | 19517031 | 01 |
| MO | 323585208 | 05 |
| Other Name | Type Code |
|---|---|
| State Line Eye Care Center Optical | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770615601 | State Line Eye Care Center, PC | Eyewear Supplier (Equipment, not the service) | 424 E North Ave, Belton, MO 64012-2017 | 2007-03-09 |
| 1013142694 | State Line Eye Care Center, PC | Ophthalmology | 520 E 63rd St, Brookside Eye Care Center, Kansas City, MO 64110-3330 | 2009-05-26 |
| 1255591160 | State Line Eye Care Center, PC | Ophthalmology | 424 E North Ave, Belton, MO 64012-2017 | 2008-06-13 |
| 1215978622 | State Line Eye Care Center, PC | Ophthalmology | 7701 State Line Rd, Kansas City, MO 64114-1635 | 2006-06-09 |
| Street Address |
7701 STATE LINE RD |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64114-1635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447204441 | Amy E Ciccio | Ophthalmology | 7701 State Line Rd, Kansas City, MO 64114-1635 | 2006-05-22 |
| 1417993676 | Roland Sabates | Ophthalmology | 7701 State Line Rd, Kansas City, MO 64114-1635 | 2006-06-22 |
| 1518903756 | Ginger E Cline | Optometrist | 7701 State Line Rd, Kansas City, MO 64114-1635 | 2006-06-22 |
| 1336181718 | Amy W Gemperli | Ophthalmology | 7701 State Line Rd, Kansas City, MO 64114-1635 | 2006-06-12 |
| 1215978622 | State Line Eye Care Center, PC | Ophthalmology | 7701 State Line Rd, Kansas City, MO 64114-1635 | 2006-06-09 |
| 1629018247 | Alan E Bauman | Ophthalmology | 7701 State Line Rd, Kansas City, MO 64114-1635 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164055968 | Nova Home Infusion, LLC | Home Infusion | 7611 State Line Road, Suite 130 B, Kansas City, MO 64114 | 2020-02-20 |
| 1770011017 | Rene Thomsen | Counselor | 222 W Gregory Blvd Ste 120, Kansas City, MO 64114 | 2017-05-31 |
| 1114452075 | Accent Home Health Care LLC | In Home Supportive Care | 7817 Wornall Rd, Kansas City, MO 64114 | 2017-04-27 |
| 1174982599 | Mei Dodson | Contractor | 8901 Washington St, Kansas City, MO 64114 | 2016-02-12 |
| 1851784805 | Sarah Jeannette Gulledge | Registered Nurse | 930 Carondelet Dr., Suite 201, Kansas City, MO 64114 | 2015-03-16 |
| 1376936591 | Corey Bess | Podiatrist | 1010 Carondelet Dr Ste 301, Kansas City, MO 64114 | 2015-03-12 |
| 1013339753 | Kati Mayer | Physical Therapist | 10008 Walnut Dr., #202, Kansas City, MO 64114 | 2014-01-15 |
| 1619270311 | Gavett Burch | Marriage & Family Therapist | 222 W Gregory Blvd., Suite #319, Kansas City, MO 64114 | 2010-12-18 |
| 1679873046 | Ken Kidd Inc Dba Miracle-ear | Hearing Instrument Specialist | 1148 W. 103rd St, Kansas City, MO 64114 | 2010-11-01 |
| 1316264161 | Elizabeth Vasquez | Physician Assistant | 1004 Carondelet Dr., Suite 330, Kansas City, MO 64114 | 2010-05-03 |
| Find all providers in zip 64114 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942727037 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 307 Nichols Rd, Kansas City, MO 64112-1526 | 2017-08-29 |
| 1619408291 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1600 Nw 88th St, Kansas City, MO 64155 | 2017-03-24 |
| 1033660279 | Visionworks Inc. | Eyewear Supplier (Equipment, not the service) | 8505 North Church Road, Kansas City, MO 64157-0000 | 2016-10-24 |
| 1821443250 | Visionworks Inc. | Eyewear Supplier (Equipment, not the service) | 1703 Village West Parkway, Suite 104, Kansas City, KS 66111-0000 | 2016-05-04 |
| 1437514007 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 8924 Nw Skyview Ave, Kansas City, MO 64154-8502 | 2015-12-23 |
| 1336514819 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 8560 North Church Rd, Kansas City, MO 64157-1202 | 2015-12-09 |
| 1376893362 | Eyrie Enterprises Inc. | Eyewear Supplier (Equipment, not the service) | 8502 N Green Hills Rd, Kansas City, MO 64154-1403 | 2012-09-17 |
| 1356621957 | Promohispano 2 Inc | Eyewear Supplier (Equipment, not the service) | 4609 Independence Ave, Kansas City, MO 64124-2927 | 2011-08-26 |
| 1962781823 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 9100 N Skyview Ave, Kansas City, MO 64154-8500 | 2011-08-10 |
| 1386939601 | Visionworks Inc | Eyewear Supplier (Equipment, not the service) | 8748 N Dixson Ave, Kansas City, MO 64153-1938 | 2011-06-15 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64114 |
Please comment or provide details below to improve the information on STATE LINE EYE CARE CENTER, PC.
| 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.