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ENVISION EYECARE LLC NPI 1023023496


NPI Information

NPI: 1023023496
Provider Name: ENVISION EYECARE, LLC

Doing Business As: ENVISION EYECARE

Classification: Optometrist - 152W00000X
Entity Type: Organization

CLIA Number: 26D2092892

Address:
215 SE STATE ROUTE 291
LEES SUMMIT, MO
ZIP 64063
Phone: (816) 246-7779
Get Directions

ENVISION EYECARE, LLC is an optometrist in Lees Summit, MO. The provider is 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. ENVISION EYECARE, LLC NPI is 1023023496. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Envision Eyecare.

The provider's business location address is:

215 SE STATE ROUTE 291
LEES SUMMIT, MO
ZIP 64063-939
Phone: (816) 246-7779
Fax: (816) 246-7780

The provider's authorized official is Joshua Clyde Cantrell .
The authorized official title is Executive Member and has the following contact phone number (816) 246-7779.

The CLIA number assigned to this NPI record is 26D2092892 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/31/2006 and was last updated on 7/1/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometrist2003000960MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1W430000MEDICARE PINMISSOURI
239170011OTHERMISSOURIBCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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