KANSAS CITY EYE CLINIC, P.A.
NPI 1063622124
Ophthalmology in Overland Park, KS

Active since May 23, 2007CLIA 17D2079905 · Waiver
7504 ANTIOCH RD, OVERLAND PARK, KS 66204(913) 341-3100 Get Directions Write a Review

NPPES record last updated: October 21, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 21, 2020, Nov 19, 2019, Aug 22, 2019 and 1 more (4 updates tracked since 2019).

About Kansas City Eye Clinic, P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KANSAS CITY EYE CLINIC, P.A. (NPI 1063622124) is a healthcare organization registered as an ophthalmology in Overland Park, Kansas and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through January 15, 2028, maintains a secondary practice location in Overland Park, and lists Sara S Oconnell, President, as its authorized official.

NPPES Registry Identity

NPI1063622124
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameKANSAS CITY EYE CLINIC, P.A.
Location Address7504 ANTIOCH RDOverland Park, KS 66204-2622
Mailing Address7504 Antioch RdOverland Park, KS 66204-2622 · (913) 341-3100 · Fax (913) 341-6818
Organization SubpartNo
Authorized OfficialSara S OconnellPresident · (913) 341-3100
Enumeration DateMay 23, 2007
Last NPPES UpdateOctober 21, 20204 updates tracked since enumeration
NPPES CertifiedOctober 21, 2020
NPI 1063622124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition

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.

Also ListedOptometristTaxonomy 152W00000X
7504 ANTIOCH RD, Overland Park, KS 66204

Secondary Practice Location 1

Location 14061 Indian Creek Pkwy Ste 310Overland Park, KS 66207-4030 · Phone (913) 341-3100

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 17D2079905

Kansas City Eye Clinic · Overland Park, KS
Active · expires Jan 15, 2028
CLIA Number17D2079905
Laboratory TypePhysician Office
Certificate Effective DateJanuary 16, 2026
Certificate Expiration DateJanuary 15, 2028
Laboratory DirectorChristopher S. Ketcherside
Laboratory Phone(913) 341-3100
Laboratory LocationKansas City Eye Clinic7504 Antioch Road, Overland Park, KS 66204
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Kansas City Eye Clinic carries, from the Medicare DMEPOS supplier directory.

Kansas City Eye Clinic

DMEPOS supplier · Overland Park, KSOperated by Kansas City Eye Clinic, P.A.

Accepts Medicare assignment

Kansas City Eye Clinic agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20673785
Medicare Participant SinceAugust 10, 1990
Supplier Location7504 Antioch RdOverland Park, KS 66204
Provider TypePhysician – Ophthalmology
Supplier Specialties
Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Prosthetic Lenses: Prosthetics Cataract Lenses
Cataract Eyeglasses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
7504 ANTIOCH RD
OVERLAND PARK, KS 66204
Ophthalmology
7504 ANTIOCH RD
OVERLAND PARK, KS 66204
Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)
7504 ANTIOCH RD
OVERLAND PARK, KS 66204
Ophthalmology
7504 ANTIOCH RD
OVERLAND PARK, KS 66204
Optometrist
7504 ANTIOCH RD
OVERLAND PARK, KS 66204
Specialist
7504 ANTIOCH RD
OVERLAND PARK, KS 66204
Specialist
7504 ANTIOCH RD
OVERLAND PARK, KS 66204
Specialist
7504 ANTIOCH RD
OVERLAND PARK, KS 66204

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kansas City Eye Clinic, P.A.'s NPI number?

The NPI number for Kansas City Eye Clinic, P.A. is 1063622124. It was assigned to this organization in the NPPES registry on May 23, 2007.

Where is Kansas City Eye Clinic, P.A. located?

Kansas City Eye Clinic, P.A. is located at 7504 Antioch Rd, Overland Park, KS 66204. The listed phone number is (913) 341-3100.

What is Kansas City Eye Clinic, P.A.'s specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Does Kansas City Eye Clinic, P.A. accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Kansas City Eye Clinic accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Kansas City Eye Clinic, P.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D2079905) is associated with this NPI, valid through January 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kansas City Eye Clinic, P.A. accept?

Health plans from Anthem Blue Cross and Blue Shield and BlueCross BlueShield of Tennessee list Kansas City Eye Clinic, P.A. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kansas City Eye Clinic, P.A. was last updated on October 21, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.