STATE LINE EYE CARE CENTER, PC (NPI# 1770615601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770615601 |
| Entity Type | Organization |
| Organization Name | STATE LINE EYE CARE CENTER, PC |
| Other Organization Name | CASS COUNTY EYE CARE CENTER OPTICAL |
| Practice Address |
424 E North Ave Belton MO 64012-2017 |
| Mailing Address |
7701 State Line Rd Kansas City MO 64114-1635 |
| Practice Telephone | 8163226100 |
| 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 | 19517041 | 01 |
| MO | 328147707 | 05 |
| Other Name | Type Code |
|---|---|
| Cass County Eye Care Center Optical | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1215978622 | State Line Eye Care Center, PC | Ophthalmology | 7701 State Line Rd, Kansas City, MO 64114-1635 | 2006-06-09 |
| Street Address |
424 E NORTH AVE |
| City | BELTON |
| State | MO |
| Zip Code | 64012-2017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255591160 | State Line Eye Care Center, PC | Ophthalmology | 424 E North Ave, Belton, MO 64012-2017 | 2008-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952929614 | Brianna Buchheit | Dentist | 701 E Market Pkwy, Belton, MO 64012 | 2020-07-09 |
| 1518400290 | Ti-carnegie Village, LLC | Skilled Nursing Facility | 105 Bernard Drive, Belton, MO 64012 | 2016-11-29 |
| 1720432305 | Erin Washington | Specialist/Technologist | 801 W. North Ave, Belton, MO 64012 | 2016-04-20 |
| 1558726844 | Catherine Smith | Specialist/Technologist | 17065 Us-71, Belton, MO 64012 | 2015-12-31 |
| 1982077673 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 630 E. Markey Parkway, Belton, MO 64012 | 2015-11-04 |
| 1326484858 | Amanda Mccune | Nurse Practitioner | 1400 E. North Avenue, Belton, MO 64012 | 2013-05-10 |
| 1376895094 | Alex Sharifian,dds,. Belton Modern Dentistry, P.c | Dentist | 1731 East North Avenue, Belton, MO 64012 | 2012-10-04 |
| 1912260910 | Lindsey Belt Emergency Physicians, LLC | Emergency Medicine | 17065 S. 71 Highway, Belton, MO 64012 | 2012-06-25 |
| 1376810598 | Erica Renee Bourbon | Nurse Practitioner | 17065 S. 71 Hwy, Belton, MO 64012 | 2011-11-17 |
| 1790073450 | Dale David Laird | Ophthalmology | 30 Hever Knoll, Loch Lloyd, MO 64012 | 2011-07-15 |
| Find all providers in zip 64012 | ||||
| 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 |
|---|---|---|---|---|
| 1447892542 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 30 S Lindbergh Blvd, Saint Louis, MO 63131 | 2019-10-10 |
| 1942842208 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 2111 Missouri Blvd, Jefferson City, MO 65109-4773 | 2019-10-08 |
| 1306346630 | Murphy Watson Burr Eye Center Inc | Eyewear Supplier (Equipment, not the service) | 707 N 36th St Ste A, Saint Joseph, MO 64506-3080 | 2018-02-13 |
| 1467965830 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 304 N Euclid Ave, Saint Louis, MO 63108-1210 | 2017-11-08 |
| 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 |
| 1659829505 | Eyedeology Vision Center LLC | Eyewear Supplier (Equipment, not the service) | 3629 N Lindbergh Blvd, Saint Ann, MO 63074-2106 | 2016-09-20 |
| 1477009397 | Visionworks Inc. | Eyewear Supplier (Equipment, not the service) | 80 West County Center, St. Louis, MO 63131-3701 | 2016-08-31 |
| 1851847396 | Visionworks Inc. | Eyewear Supplier (Equipment, not the service) | 12597 Olive Blvd., Creve Coeur, MO 63141-6311 | 2016-08-25 |
| Find all providers with the same taxonomy | ||||
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| 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.