BROOKSIDE OPTICAL (NPI# 1841439098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841439098 |
| Entity Type | Organization |
| Organization Name | BROOKSIDE OPTICAL |
| Practice Address |
14130 W 119th St Olathe KS 66062-6621 |
| Practice Telephone | 9133909300 |
| Practice Fax Number | 9133909301 |
| Mailing Telephone | 9133909300 |
| Mailing Fax Number | 9133909301 |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2009-02-11 |
| Authorized Official Name | MR. R LEON BUTLER (OPTICIAN) |
| Authorized Official Telephone | 9133909300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| Street Address |
14130 W 119TH ST |
| City | OLATHE |
| State | KS |
| Zip Code | 66062-6621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326672353 | Skylar Moore | Behavioral Analyst | 620 S. Rodgers Rd, Olathe, KS 66062 | 2020-02-28 |
| 1013554179 | Maureen Nicole Hernandez | Counselor | 14201 S Mur-len Rd, Suite 106, Olathe, KS 66062 | 2019-12-06 |
| 1326505256 | Gateway of Hope Minisitries Inc | Counselor | 801 N. Murlen Suite 111, Olathe, KS 66062 | 2019-02-27 |
| 1235607698 | Eric Kilii Malombe | Driver | 17525 S Roundtree Drive, Olathe, KS 66062 | 2018-11-04 |
| 1013482504 | Jacqueline Maria Loconsolo | Counselor | 14201 S Mur Len Rd Ste 106, Olathe, KS 66062 | 2018-10-10 |
| 1245710193 | Olathe South Dentistry, Pa | Dentist | 16587 W 151st St, Olathe, KS 66062 | 2018-08-20 |
| 1801389671 | Karen Sue Tennyson | Behavior Technician | 14136 East 135th St., Olathe, KS 66062 | 2018-06-07 |
| 1861901639 | Phye Family Dentistry, P.a. | Dentist | 401 S. Clairborne, Suite A, Olathe, KS 66062 | 2017-09-25 |
| 1689192619 | Briana Purkapile | Occupational Therapy Assistant | 17336 West 158th St., Olathe, KS 66062 | 2017-08-30 |
| 1629591342 | Sbl Enterprises, LLC | Occupational Therapist | 14154 W 156th Lane, Olathe, KS 66062 | 2017-07-25 |
| Find all providers in zip 66062 | ||||
| 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 |
|---|---|---|---|---|
| 1982078085 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 15206 W 119th St, Suite A, Olathe, KS 66062-5604 | 2015-11-30 |
| 1154452472 | Specs | Eyewear Supplier (Equipment, not the service) | 14971 W 119th St, Olathe, KS 66062-9656 | 2007-03-08 |
| 1861518961 | Eye Care, Pa | Eyewear Supplier (Equipment, not the service) | 15710 W 135th St, Olathe, KS 66062-1510 | 2007-03-21 |
| 1962552612 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 15345 W 119th St, Olathe, KS 66062-1074 | 2007-01-12 |
| 1366599672 | Physicians Optical, Inc | Eyewear Supplier (Equipment, not the service) | 21020 W 151st St, Olathe, KS 66061-7200 | 2007-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821630187 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 2540 Iowa St Ste K, Lawrence, KS 66046-5754 | 2019-10-08 |
| 1225595408 | Customeyes LLC | Eyewear Supplier (Equipment, not the service) | 1861 N Rock Rd Ste 214, Wichita, KS 67206-1264 | 2019-02-25 |
| 1598233652 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 6635 W 135th St, Overland Park, KS 66223-7898 | 2018-11-07 |
| 1699256271 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 10231 W 21st St N # N107, Wichita, KS 67205-1832 | 2018-08-22 |
| 1821443250 | Visionworks Inc. | Eyewear Supplier (Equipment, not the service) | 1703 Village West Parkway, Suite 104, Kansas City, KS 66111-0000 | 2016-05-04 |
| 1164819843 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 330 Kansas Ave, Bldg. 700, Fort Leavenworth, KS 66027-1139 | 2015-04-21 |
| 1639437791 | Sunland Optical Co., Inc. | Eyewear Supplier (Equipment, not the service) | 330 Kansas Ave Bldg 700, Fort Leavenworth, KS 66027-1139 | 2012-04-26 |
| 1437439148 | Eyewear Junction LLC | Eyewear Supplier (Equipment, not the service) | 710 N Washington St, Junction City, KS 66441-2922 | 2011-08-25 |
| 1659501898 | Meadows-bell Opticians LLC | Eyewear Supplier (Equipment, not the service) | 8838 W 95th St, Overland Park, KS 66212-4051 | 2009-07-22 |
| 1659522548 | Owens Optical | Eyewear Supplier (Equipment, not the service) | 522 -e- 30th, Hutchinson, KS 67502 | 2008-10-09 |
| 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.