EYE ASSOCIATES OF SHAWNEE PA (NPI# 1316009111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316009111 |
| Entity Type | Organization |
| Organization Name | EYE ASSOCIATES OF SHAWNEE PA |
| Practice Address |
15951 W 65th St Shawnee KS 66217 |
| Mailing Address |
10120 W 119th St Overland Park KS 66213 |
| Practice Telephone | 9132689190 |
| Practice Fax Number | 9132682654 |
| Mailing Telephone | 9133399090 |
| Mailing Fax Number | 9133396417 |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2009-04-09 |
| Authorized Official Name | MR. VINCENT A PENNIPEDE (OWNER) |
| Authorized Official Telephone | 9133399090 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | RR MEDICARE | DO0466 | 01 |
| MO | BLUE CROSS BLUE SHIELD OF KANSAS CITY | 26236026 | 01 |
| KS | BLUE CROSS BLUE SHIELD OF KANSAS | 738029 | 01 |
| Street Address |
15951 W 65TH ST |
| City | SHAWNEE |
| State | KS |
| Zip Code | 66217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619438801 | Hope Bazille | Behavioral Analyst | 17210 Midland Dr, Shawnee, KS 66217 | 2019-03-29 |
| 1023574126 | Andrea Corrales | Behavioral Analyst | 17210 Midland Drive, Shawnee, KS 66217 | 2019-02-13 |
| 1164824744 | Amy M Brettman | Internal Medicine | 7230 Renner Road, Shawnee, KS 66217 | 2014-09-25 |
| 1811232622 | U.S. Pt Therapy Services Inc. | Physical Therapist | 7448 West Frontage Road, Merriam, KS 66217 | 2012-12-05 |
| 1508179193 | Capstone Dentistry, LLC | Clinic/Center | 17212 Midland Dr, Shawnee, KS 66217 | 2010-07-23 |
| 1417014010 | Jo Jeanne Callaway | Psychiatry & Neurology | 5400 Lackman Road, Shawnee, KS 66217 | 2007-01-02 |
| 1255492633 | Stephanie Lynn Caldwell | Physician Assistant | 7405 Renner Road, Shawnee, KS 66217 | 2006-12-12 |
| 1215029392 | George J Bures Jr. | Family Medicine | 7255 Renner Rd., Shawnee, KS 66217 | 2006-09-28 |
| 1790719276 | Minnie J Baldridge | Audiologist | 15939 W 65th St, Shawnee, KS 66217 | 2006-07-10 |
| 1992749261 | Shelley D. Mayse | Social Worker | 7515 Allman Rd, Lenexa, KS 66217 | 2006-06-16 |
| Find all providers in zip 66217 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043646532 | Seema Amin | Optometrist | 14519 W 60th Ter, Shawnee, KS 66216-1510 | 2013-09-17 |
| 1063726941 | Kinsey Rachel Honeyman | Optometrist | 5433 Roberts Street, Shawnee, KS 66226 | 2010-08-03 |
| 1548572811 | Tyler Ross Young | Optometrist | 12129 Shawnee Mission Pkwy, Shawnee, KS 66216 | 2010-07-02 |
| 1164586699 | Michael Brian Watters | Optometrist | 2020 N Harrison, Shawnee, OK 74804 | 2006-12-20 |
| 1881769008 | John D Kastl | Optometrist | 4901 N Kickapoo Ave, Suite#1606, Shawnee, OK 74804-1303 | 2006-11-22 |
| 1053494401 | Ryan Wineinger | Optometrist | 7505 Quivira Rd, Shawnee, KS 66216-3501 | 2006-10-21 |
| 1649373689 | Kirk F Hoster | Optometrist | 2109 N Kickapoo Ave, Shawnee, OK 74804-2732 | 2006-09-06 |
| 1881600062 | Andrew William Franken | Optometrist | 22407 W 66th St, Shawnee, KS 66226-3501 | 2006-07-31 |
| 1396751574 | Christopher William Arnold | Optometrist | 22414 W 66th St, Shawnee, KS 66226-3514 | 2006-07-31 |
| 1144264235 | Clifford L Holt | Optometrist | 6435 Nieman Rd, Shawnee, KS 66203-3325 | 2006-06-16 |
| Find all providers in SHAWNEE | ||||
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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.