SHANNON ELIZABETH CUMMINGS (NPI# 1376003673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376003673 |
| Entity Type | Individual |
| Full Name | SHANNON ELIZABETH CUMMINGS |
| Other Name | SHANNON ELIZABETH RENNER |
| Credential | OD |
| Practice Address |
4801 S Cliff Ave Ste 100 Independence MO 64055-6954 |
| Practice Telephone | 8164781230 |
| Practice Fax Number | 8163504585 |
| Mailing Telephone | 8164781230 |
| Mailing Fax Number | 8163504585 |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2020-04-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | 2105 | KS | Eye and Vision Services Providers |
| Y | 152W00000X | Optometrist | 2019026756 | MO | Eye and Vision Services Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4801 E Linwood Blvd, Kansas City, MO 641282226 | 8168614700 | 8169223382 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528327541 | Shannon Cummings | Physical Therapy Assistant | 7011 Verde Dr, Kansas City, KS 66109-2526 | 2012-05-11 |
| 1083144364 | Shannon M Cummings | Case Manager/Care Coordinator | 2410 Pine St, Arkadelphia, AR 71923-4335 | 2017-06-19 |
| 1972041945 | Shannon Cummings | Counselor | 10102 Country Club Rd Se, Cumberland, MD 21502-8339 | 2017-02-09 |
| 1871919027 | Shannon Cummings | Physical Therapist | 650 University Ave, Suite 203, Sacramento, CA 95825-6726 | 2014-03-12 |
| Street Address |
4801 S CLIFF AVE STE 100 |
| City | INDEPENDENCE |
| State | MO |
| Zip Code | 64055-6954 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851916035 | Nicholas Portell | Optometrist | 13900 E Us Hwy, Suite A, Independence, MO 64055 | 2020-06-12 |
| 1295396398 | Alyson Forbes | Behavioral Analyst | 4721 S. Cliff Ave, Suite 103, Independence, MO 64055 | 2019-06-28 |
| 1427526458 | Physicians Wellness Group LLC | Family Medicine | 19045 E Valley View Parkway, Suite G, Independence, MO 64055 | 2018-11-07 |
| 1760967707 | Simone Lila Light | Behavioral Analyst | 4721 S. Cliff Ave Suite 103, Suite 103, Independence, MO 64055 | 2018-09-25 |
| 1841786183 | Ladonna Kaye Stephens | Pharmacist | 4100 Bolger Dr, Independence, MO 64055 | 2018-07-10 |
| 1568954873 | Lincare Inc | Durable Medical Equipment & Medical Supplies | 17501 E 40 Hwy Ste 224, Independence, MO 64055 | 2018-06-01 |
| 1710488002 | Zenith Rehabilitation, LLC | Rehabilitation Practitioner | 14500 E 42nd St S Ste 240, Independence, MO 64055 | 2018-02-22 |
| 1720526924 | Ashley & Gray D.d.s.'s | Clinic/Center | 1520 E 23rd Str, Ste Q, Independence, MO 64055 | 2017-02-08 |
| 1942751045 | Mary C Younger | Counselor | 4710 S Cedar Crest Ct Ste 100, Independence, MO 64055 | 2016-10-24 |
| 1497163950 | Carolyn J Wells | Home Health Aide | 13308 E 43rd Terr S, Independence, MO 64055 | 2014-07-29 |
| Find all providers in zip 64055 | ||||
| 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 |
|---|---|---|---|---|
| 1851916035 | Nicholas Portell | Optometrist | 13900 E Us Hwy, Suite A, Independence, MO 64055 | 2020-06-12 |
| 1417572686 | Caroline Mendus | Optometrist | 13900 E Us Highway 40, Independence, MO 64055-5860 | 2020-06-12 |
| 1013381342 | Sawyer Vision Holdings LLC | Optometrist | 1131 Laurelwood Ln, Independence, KY 41051-9064 | 2015-11-24 |
| 1154663037 | Michael Wade Klein | Optometrist | 4741 S Cochise Drvie, Independence, MO 64055 | 2013-03-19 |
| 1952686255 | Insight Eyecare Specialties Inc | Optometrist | 19045 East Valley View Parkway, Suite A, Independence, MO 64055-9942 | 2011-10-18 |
| 1447575352 | Tiffany N. Tiller | Optometrist | 18777 E 39th St S, Sears Optical, Independence, MO 64057-1708 | 2010-04-02 |
| 1861620999 | Erin Michele Mills | Optometrist | 19040 E Valley View Parkway, Independence, MO 64055 | 2009-06-26 |
| 1437317369 | Novack Optometry Inc | Optometrist | 19049 East Valley View Pkwy, Suite G, Independence, MO 64055 | 2008-05-28 |
| 1619182219 | Robert Thomas Kingus | Optometrist | 1310 1st St West, Independence, IA 50644 | 2007-05-14 |
| 1770619660 | Jeff Leroy Lookhart | Optometrist | 2086 Independence Center Dr, Independence, MO 64057 | 2007-02-26 |
| Find all providers in INDEPENDENCE | ||||
| City | INDEPENDENCE |
| Zip Code | 64055 |
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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.