WYANDOTTE EYE CENTER
NPI 1154672533
Clinic/Center in Kansas City, KS

Active since September 26, 2012CLIA 26D2107372 · Waiver
21 N 12TH ST, KANSAS CITY, KS 66102(816) 873-0202(816) 873-0203 Get Directions Write a Review

NPPES record last updated: September 26, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Wyandotte Eye Center NPPES

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

WYANDOTTE EYE CENTER (NPI 1154672533) is a healthcare organization registered as a clinic/center in Kansas City, Kansas and active in the NPI registry since September 2012. The organization holds a CLIA Waiver certificate valid through January 11, 2028 and lists Thomas L Anderson, Owner/memeber, as its authorized official.

NPPES Registry Identity

NPI1154672533
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSMITHVILLE EYE CENTER LLC
Location Address21 N 12TH STKansas City, KS 66102-5161
Mailing Address21 N 12th St, 101Kansas City, KS 66102-5161 · (816) 873-0202 · Fax (816) 873-0203
Fax(816) 873-0203
Organization SubpartNo
Authorized OfficialThomas L AndersonOwner/memeber · (816) 873-0202
Enumeration DateSeptember 26, 2012
NPI 1154672533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License Licensed in KS · 1601
Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

21 N 12TH ST, Kansas City, KS 66102

Other Names 1

Doing Business AsWyandotte Eye Center

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 26D2107372

Smithville Eye Center LLC · Smithville, MO
Active · expires Jan 11, 2028
CLIA Number26D2107372
Laboratory TypePhysician Office
Certificate Effective DateJanuary 12, 2026
Certificate Expiration DateJanuary 11, 2028
Laboratory DirectorRyan L. Hiesterman
Laboratory Phone(816) 873-0202
Laboratory LocationSmithville Eye Center LLC1000 S Us 169 Hwy, Smithville, MO 64089
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

Social Worker
21 N 12TH ST, SUITE 470
KANSAS CITY, KS 66102
Durable Medical Equipment & Medical Supplies
21 N 12TH ST, SUITE 101
KANSAS CITY, KS 66102
Nurse Practitioner (Psychiatric/Mental Health)
21 N 12TH ST
KANSAS CITY, KS 66102
Nurse Practitioner
21 N 12TH ST, SUITE 400
KANSAS CITY, KS 66102
Ophthalmology
21 N 12TH ST, SUITE 102
KANSAS CITY, KS 66102
Pediatrics
21 N 12TH ST, SUITE 300
KANSAS CITY, KS 66102
Optometrist
21 N 12TH ST
KANSAS CITY, KS 66102
Hospice Care, Community Based
21 N 12TH ST, STE 375 C
KANSAS CITY, KS 66102

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 Smithville Eye Center LLC's NPI number?

The NPI number for Smithville Eye Center LLC is 1154672533. It was assigned to this organization in the NPPES registry on September 26, 2012. The provider is doing business as Wyandotte Eye Center.

Where is Smithville Eye Center LLC located?

Smithville Eye Center LLC is located at 21 N 12th St, Kansas City, KS 66102. The listed phone number is (816) 873-0202.

What is Smithville Eye Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Smithville Eye Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2107372) is associated with this NPI, valid through January 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Smithville Eye Center LLC was last updated on September 26, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.