AUSTIN ANDERSEN (NPI# 1164819579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164819579 |
| Entity Type | Individual |
| Full Name | AUSTIN ANDERSEN |
| Credential | M.D. |
| Practice Address |
11121 W 95th St Professional Eyecare Overland Park KS 66214-1824 |
| Mailing Address |
16325 S Allman Rd Olathe KS 66062-9067 |
| Practice Telephone | 9134927728 |
| Practice Fax Number | 9134925217 |
| Mailing Telephone | 4025400017 |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2019-09-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 04-39234 | KS | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3201 S Iowa St, Lawrence, KS 660465205 | 7858383417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558639559 | Austin Lee Andersen | Chiropractor | 101 E Ferry St, Berrien Springs, MI 49103-1160 | 2011-12-05 |
| Street Address |
11121 W 95TH ST PROFESSIONAL EYECARE |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66214-1824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578625695 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 11121 W 95th St, Oak Park Mall, Overland Park, KS 66214-1825 | 2006-12-14 |
| 1104485309 | Sarah Truman | Optometrist | 11121 W 95th St, Overland Park, KS 66214-1824 | 2019-06-11 |
| 1184063935 | Liron Bittan | Optometrist | 11121 W 95th St, Overland Park, KS 66214-1824 | 2013-06-14 |
| 1699827543 | John Michael Andersen | Optometrist | 11121 W 95th St, Overland Park, KS 66214 | 2007-01-18 |
| 1952452229 | Professional Eyecare Oak Park Inc. | Optometrist | 11121 W 95th St, Overland Park, KS 66214-1824 | 2007-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871145532 | Sparkling Fountain of Love Adult Care Homes | Meals | 8525 Switzer Road, Overlandpark, KS 66214 | 2019-07-12 |
| 1295259174 | Chelsea Leigh Nettle | Specialist/Technologist | 9111 Barton, Overland Park, KS 66214 | 2017-08-01 |
| 1548707177 | Rita M Burnett Dds Mobile LLC | Dentist | 8367 Nieman Rd, Lenexa, KS 66214 | 2017-01-20 |
| 1760843346 | Pride Care Medical Equipment and Mobility LLC | Durable Medical Equipment & Medical Supplies | 11759 W 86th Ter, Lenexa, KS 66214 | 2016-03-10 |
| 1861864381 | Melanie Ellsworth | Specialist/Technologist | 10533 Goddard Street, Apt 331, Overland Park, KS 66214 | 2015-10-23 |
| 1043618135 | Heartland Medical, LLC | Pharmacy | 7955 Flint Street, Lenexa, KS 66214 | 2014-12-05 |
| 1912241902 | Laura Elizabeth Ponce | Acupuncturist | 7410 Switzer Rd., Shawnee, KS 66214 | 2012-11-15 |
| 1154563732 | Megan Elizabeth Hutchinson Frazier | Occupational Therapist | 10300 W. 103rd St., Suite 300, Quantum Health Professionals, Overland Park, KS 66214 | 2009-03-30 |
| 1205078151 | Kortney Marie Cuddigan | Occupational Therapist | 10300 West 103rd Street, Suite 300, Overaland Park, KS 66214 | 2009-03-24 |
| 1114174158 | Michelle Renee Neher | Speech-Language Pathologist | 10300 W 103rd Street, Suite 300, Overland Park, KS 66214 | 2008-08-21 |
| Find all providers in zip 66214 | ||||
| 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 |
|---|---|---|---|---|
| 1235473448 | Prn Imaging, LLC | Ophthalmology | 10851 Mastin St Ste 100, Overland Park, KS 66210-1608 | 2012-11-15 |
| 1861744716 | Prn Billing LLC | Ophthalmology | 10851 Mastin St, Suite 100, Overland Park, KS 66210-1769 | 2012-10-02 |
| 1023267564 | Richard Noxon Barr | Ophthalmology | #20 Wycklow, Overland Park, KS 66207 | 2008-09-09 |
| 1215034277 | Jemshed A Khan | Ophthalmology | 9650 Nall Ave, Overland Park, KS 66207-2952 | 2006-09-20 |
| 1649290255 | Heart of America Eye Care Pa | Ophthalmology | 10985 Cody St Ste 120, Overland Park, KS 66210-1243 | 2006-07-20 |
| 1356390546 | Michael Craig Stiles | Ophthalmology | 7200 W 129th St, Overland Park, KS 66213-2624 | 2006-05-08 |
| 1083686729 | Timothy B Cavanaugh | Ophthalmology | 6200 W 135th St, Suite 300, Overland Park, KS 66223-4844 | 2006-02-06 |
| 1659343499 | John Douglas Hunkeler | Ophthalmology | 7950 College Blvd, Overland Park, KS 66210 | 2006-02-06 |
| 1205830627 | Jason E Stahl | Ophthalmology | 8300 College Blvd., Suite 201, Overland Park, KS 66210 | 2005-06-13 |
| 1952305526 | Daniel S Durrie | Ophthalmology | 8300 College Blvd Ste 201, Overland Park, KS 66210-2812 | 2005-06-10 |
| Find all providers in OVERLAND PARK | ||||
| City | OVERLAND PARK |
| Zip Code | 66214 |
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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.