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CAVANAUGH EYE CENTER PA NPI 1851309074


NPI Information

NPI: 1851309074
Provider Name: CAVANAUGH EYE CENTER, PA
Classification: Ophthalmology - 207W00000X
Entity Type: Organization

CLIA Number: 17D2047034

Address:
6200 W 135TH ST
SUITE 300
OVERLAND PARK, KS
ZIP 66223
Phone: (913) 897-9200
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CAVANAUGH EYE CENTER, PA is an ophthalmology in Overland Park, KS. The provider is 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. CAVANAUGH EYE CENTER, PA NPI is 1851309074. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6200 W 135TH ST
SUITE 300
OVERLAND PARK, KS
ZIP 66223-844
Phone: (913) 897-9200
Fax: (913) 897-9233

The provider's authorized official is Timothy B Cavanaugh .
The authorized official title is Owner and has the following contact phone number (913) 897-9200.

The CLIA number assigned to this NPI record is 17D2047034 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/3/2006 and was last updated on 8/20/2007.


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
1207W00000XOphthalmology0423515KANSASYes

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
1N520000MEDICARE PINKANSAS
2N520000AMEDICARE PINMISSOURI
337891017OTHERMISSOURIBCBS KC
4E45617MEDICARE UPINKANSAS
5110924MEDICARE PINKANSAS

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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