KU EYE SURGERY & LASER CENTER LLC NPI 1083952113

NPI Information

  • NPI: 1083952113
  • Provider Name: KU EYE SURGERY & LASER CENTER, LLC
  • Classification: Clinic/Center - 261QS0132X
  • Specialization: Ophthalmologic Surgery
  • Entity Type: Organization
  • Address: 7400 STATE LINE RD
    SUITE 212
    PRAIRIE VILLAGE, KS
    ZIP 66208
  • Phone: (913) 588-2020

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NPI Details

KU EYE SURGERY & LASER CENTER, LLC is an ophthalmologic surgery clinic center in Prairie Village, KS. KU EYE SURGERY & LASER CENTER, LLC NPI is 1083952113. The provider is registered as an organization entity type.

The provider's business location address is:

7400 STATE LINE RD
SUITE 212
PRAIRIE VILLAGE, KS
ZIP 66208-444
Phone: (913) 588-2020
Fax: (913) 574-1087

The provider's authorized official is John E Sutphin .
The authorized official title is President and has the following contact phone number (913) 588-6606.

The enumeration date for this NPI number is 1/24/2013 and was last updated on 10/19/2015.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QS0132XClinic/CenterOphthalmologic Surgery4652236KANSASYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1201099022AMEDICAIDKANSAS
2KA3250OTHERMEDICARE PTAN
3KA3250MEDICARE PIN

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: 11/21/2025

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