CHILDREN'S EYE CARE, P.A. (NPI# 1598930745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598930745 |
| Entity Type | Organization |
| Organization Name | CHILDREN'S EYE CARE, P.A. |
| Practice Address |
4601 W 109th St Suite 250 Overland Park KS 66211-1318 |
| Practice Telephone | 9134919123 |
| Practice Fax Number | 9134916608 |
| Mailing Telephone | 9134919123 |
| Mailing Fax Number | 9134916608 |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2008-04-29 |
| Authorized Official Name | DR. DAVID E BRAVERMAN (OWNER) |
| Authorized Official Telephone | 9134919123 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 0417188 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100124250C | 05 | |
| CIGNA | 2343355017 | 01 | |
| SPECTERA | 07379 | 01 | |
| PRINCIPAL | 30991 | 01 | |
| CHILDRENS MERCY FAMILY HEALTH PARTNERS | 461214 | 01 | |
| UNICARE | 100124250C | 01 | |
| HEALTHNET | 4465821 | 01 | |
| KS | MISSOURI MEDICAID | 200730638 | 01 |
| AETNA | 4001325 | 01 | |
| CENTRAL STATES | 446582 | 01 | |
| BC/BS | 06907178 | 01 | |
| UNITED HEALTHCARE | 0809553 | 01 | |
| RAIL ROAD MEDICARE | 180012951 | 01 |
| Street Address |
4601 W 109TH ST SUITE 250 |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66211-1318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487656674 | David E Braverman | Ophthalmology | 4601 W 109th St, Suite 250, Overland Park, KS 66211-1318 | 2005-06-01 |
| 1164977138 | Roy K Oyer | Urology | 4601 W 109th St, Suite 314, Overland Park, KS 66211-1318 | 2016-08-19 |
| 1629488952 | Jahn E. Roedemeier, Dds, Pa | Dentist | 4601 W 109th St, Suite 320, Overland Park, KS 66211-1318 | 2014-05-08 |
| 1689084311 | Parks Children's Dentistry | Dentist | 4601 W 109th St, Suite 217, Overland Park, KS 66211-1318 | 2014-05-02 |
| 1487078036 | David Francisco | Dentist | 4601 W 109th St, Suite 250, Overland Park, KS 66211-1318 | 2014-02-18 |
| 1003230665 | Joon Won Kim | Dentist | 4601 W 109th St, Suite 250, Overland Park, KS 66211-1318 | 2014-02-18 |
| 1598189144 | James Randall | Dentist | 4601 W 109th St, Suite 250, Overland Park, KS 66211-1318 | 2014-02-18 |
| 1932466851 | Michelle G Mchale | Dentist | 4601 W 109th St, Suite #212, Overland Park, KS 66211-1318 | 2012-04-17 |
| 1154598332 | Optical Options Cibis Ltd | Technician/Technologist | 4601 W 109th St, 100, Overland Park, KS 66211-1318 | 2008-05-15 |
| 1275703811 | Haake Family Dental LLC | Dentist | 4601 W 109th St, Suite 112, Overland Park, KS 66211-1318 | 2008-03-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336611821 | Baillie Rose Woydziak | Social Worker | 5805 W 110th Street, Overland Park, KS 66211 | 2018-12-20 |
| 1467920389 | Ku Medwest Ambulatory Surgery Center, LLC | Clinic/Center | 10720 Nall Avenue, Overland Park, KS 66211 | 2018-11-08 |
| 1235615931 | Janice Carollo | Physical Therapy Assistant | 11611 Granada Lane, Leawood, KS 66211 | 2018-07-16 |
| 1720572555 | Trevor Lee Elmer | Physical Therapist | 10777 Nall, 320 - Corporate Medical Plaza Building II, Overland Park, KS 66211 | 2018-06-15 |
| 1043746555 | Overland Park Surgical Suites, LLC | Clinic/Center | 6650 W 110th St Ste 300, Overland Park, KS 66211 | 2017-05-03 |
| 1619313665 | Vcphcs Xiv, LLC | Clinic/Center | 6331 W. 110th Street, Overland Park, KS 66211 | 2013-05-17 |
| 1528334950 | Scott Anthony Hardouin | Surgery | 5100 W 110th St Unit 300, Overland Park, KS 66211 | 2012-03-29 |
| 1386917003 | Children's Physical Therapy Associates | Physical Therapist | 6600 College Boulevard, Suite 307, Overland Park, KS 66211 | 2012-02-10 |
| 1871876250 | Amber Diane Dalzell | Social Worker | 10965 Granada Ln Ste 102, Overland Park, KS 66211 | 2011-09-22 |
| 1912298001 | Stephen Vincent Hiatt | Orthopaedic Surgery | 10701 Nall Avenue, Suite 200, Overland Park, KS 66211 | 2011-04-25 |
| Find all providers in zip 66211 | ||||
| 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 | 66211 |
Please comment or provide details below to improve the information on CHILDREN'S EYE CARE, P.A..
| 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.