STATE LINE EYE CARE CENTER, PC (NPI# 1215978622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215978622 |
| Entity Type | Organization |
| Organization Name | STATE LINE EYE CARE CENTER, PC |
| Practice Address |
7701 State Line Rd Kansas City MO 64114-1635 |
| Practice Telephone | 8164442900 |
| Practice Fax Number | 8164443304 |
| Mailing Telephone | 8164442900 |
| Mailing Fax Number | 8164443304 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2015-03-03 |
| Authorized Official Name | LILLIAM (LILY) S YOHN (SECRETARY/OFFICE MANAGER) |
| Authorized Official Telephone | 8164442900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 509417606 | 05 | |
| MO | BLUE CROSS BLUE SHIELD | 19517011 | 01 |
| 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 |
| 1174655955 | State Line Eye Care Center, PC | Eyewear Supplier (Equipment, not the service) | 7701 State Line Rd, Kansas City, MO 64114-1635 | 2007-03-09 |
| 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 |
| 1174655955 | State Line Eye Care Center, PC | Eyewear Supplier (Equipment, not the service) | 7701 State Line Rd, Kansas City, MO 64114-1635 | 2007-03-09 |
| 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 |
| 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 | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003466897 | Mcelhinney Eye Care, Pa | Ophthalmology | 1004 Carondelet Dr Ste 405, Kansas City, MO 64114-4801 | 2019-09-13 |
| 1003250606 | Manuel David Camejo | Ophthalmology | 4320 Wornall Rd Ste 220, Kansas City, MO 64111-5954 | 2013-04-25 |
| 1235366139 | Allen G Parelman | Ophthalmology | 402 W 50th St, Kansas City, MO 64112-2528 | 2009-06-17 |
| 1407929417 | Tauber Eye Center LLC | Ophthalmology | 4400 Broadway St Ste 202, Kansas City, MO 64111-3342 | 2006-11-16 |
| 1265532642 | Jerry William Cook | Ophthalmology | 7400 Nw Whipple Ln, Kansas City, MO 64152-1856 | 2006-09-25 |
| 1356357230 | Gurinder Singh | Ophthalmology | 155 South 18th Street, Suite 220, Kansas City, KS 66102 | 2006-07-31 |
| 1144265075 | Perfect Sense Eye Center PC | Ophthalmology | 211 Ne 54th, Ste 202, Kansas City, MO 64118-4337 | 2006-06-17 |
| 1447204441 | Amy E Ciccio | Ophthalmology | 7701 State Line Rd, Kansas City, MO 64114-1635 | 2006-05-22 |
| 1457310518 | Randolph Thomas Jackson | Ophthalmology | 11010 Haskell Ave, Kansas City, KS 66109-8500 | 2006-03-18 |
| 1245207398 | Louis Monaco II | Ophthalmology | 2301 Holmes, Kansas City, MO 64018-1192 | 2006-03-07 |
| 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.