EYEWORKS EYEWEAR SHOPPE (NPI# 1902023732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902023732 |
| Entity Type | Organization |
| Organization Name | EYEWORKS EYEWEAR SHOPPE |
| Practice Address |
245 N Hillside St Wichita KS 67214-4903 |
| Practice Telephone | 3166822683 |
| Practice Fax Number | 3166822683 |
| Mailing Telephone | 3166822683 |
| Mailing Fax Number | 3166822683 |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MISS ASHLEY ROSE DOEBELE (PRESIDENT) |
| Authorized Official Telephone | 3168717053 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | Managed Care Organizations |
| Street Address |
245 N HILLSIDE ST |
| City | WICHITA |
| State | KS |
| Zip Code | 67214-4903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295106508 | Accurate Home Health Care, LLC | Home Health | 245 N Hillside St, Wichita, KS 67214-4903 | 2015-10-13 |
| 1396975272 | Urban Eyes of Wichita | Eyewear Supplier (Equipment, not the service) | 245 N Hillside St, Wichita, KS 67214-4903 | 2009-07-25 |
| 1275762940 | Sapphire Marie Garcia | Technician/Technologist | 245 N Hillside St, Wichita, KS 67214-4903 | 2009-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124591185 | Laquita Patrice Boyede | Durable Medical Equipment & Medical Supplies | 1503 Northeast Parkway, Wichita, KS 67214 | 2019-01-02 |
| 1891270674 | Kathryn Denise Boomer | Physician Assistant | 929 St. Francis N, Wichita, KS 67214 | 2018-09-27 |
| 1447756457 | Cardinal Health 132 LLC | Pharmacy | 527 N Grove Street, Suite 100, Wichita, KS 67214 | 2018-03-30 |
| 1023517174 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 3243 E Murdock Street, Level G, Wichita, KS 67214 | 2018-02-05 |
| 1558887901 | Shonnetta Lachan Gabriel | Counselor | 2707 E. 21st St. N, Wichita, KS 67214 | 2017-08-17 |
| 1417492174 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 803 N Broadway Ave, Wichita, KS 67214 | 2017-01-04 |
| 1952850653 | Rachel J Johnson | Counselor | 805 N Volutsia, Wichita, KS 67214 | 2016-09-23 |
| 1063899813 | Christy Lee Foos | Social Worker | 2707 E. 21st St. North, Healthcore Clinic, Wichita, KS 67214 | 2015-04-30 |
| 1952708018 | William Schroeder Fargo | Specialist | 701 N. Emporia, Wichita, KS 67214 | 2014-12-04 |
| 1447692710 | Valeriya V Hunter | Dentist | 527 N Grove, Wichita, KS 67214 | 2013-07-26 |
| Find all providers in zip 67214 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558734012 | Sonnya Natria Adams | Point of Service | 8722 Longlake Circle, Wichita, KS 67207 | 2015-11-05 |
| 1811276405 | Evergreen Wellnes Center | Point of Service | 9235 E Harry St, Wichita, KS 67207-5073 | 2011-08-12 |
| 1457666927 | Recovery Services Council Inc. | Point of Service | 1611 South Rutan, Wichita, KS 67218 | 2010-08-09 |
| 1669856720 | Emerald Senior Living | Point of Service | 1226 S Byron Rd, Wichita, KS 67209-1812 | 2015-07-17 |
| 1528454220 | Synatec Neuro, Inc | Point of Service | 4601 E Douglas Ave, Suite 116, Wichita, KS 67218-1031 | 2015-04-09 |
| 1972740843 | Reflection Ridge Dental, LLC | Point of Service | 7570 W 21st St N, 1050b, Wichita, KS 67205-1734 | 2009-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124419676 | Jessica Reding | Point of Service | 11325 230th St, Linwood, KS 66052-4120 | 2015-02-05 |
| 1427350339 | Stephanie M Revels Md Pa | Point of Service | 8249 W 95 Th Street, Suite 108, Overland Park, KS 66212-3200 | 2010-11-29 |
| 1003958273 | Haven Supports, LLC | Point of Service | 920 E 8th St, Pittsburg, KS 66762-4302 | 2007-02-13 |
| 1871948497 | Sttt Dental Services LLC Corp | Point of Service | 120 W Osage St, Sedan, KS 67361-1518 | 2016-05-02 |
| 1285031476 | Briana Fugitt | Point of Service | 10730 Nall Ave, Suite 200, Overland Park, KS 66211-1366 | 2014-12-03 |
| 1336546555 | Suzanna Butz | Point of Service | 10730 Nall Ave, 200, Overland Park, KS 66211-1366 | 2014-12-03 |
| 1124386529 | Kaw Valley Hearing LLC | Point of Service | 1520 Wakarusa Dr, Suite B, Lawrence, KS 66047-1802 | 2012-04-24 |
| 1659566891 | Harvey Marion County Cddo | Point of Service | 500 N Main St, Suite 206, Newton, KS 67114-2211 | 2007-09-11 |
Please comment or provide details below to improve the information on EYEWORKS EYEWEAR SHOPPE.
| 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.