FOUR EYES OPTICAL, LC
NPI 1164681409
Optometrist in Overland Park, KS

Q: What is Four Eyes Optical, Lc's NPI number?

The NPI number for Four Eyes Optical, Lc is 1164681409. It was assigned to this organization in the NPPES registry on June 2, 2008.

Q: What is Four Eyes Optical, Lc's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since June 02, 2008

11232 W 135TH ST, OVERLAND PARK, KS 66221(913) 814-7600(913) 814-3906 Get Directions Write a Review

NPPES record last updated: October 10, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Four Eyes Optical, Lc NPPES

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

FOUR EYES OPTICAL, LC (NPI 1164681409) is a healthcare organization registered as an optometrist in Overland Park, Kansas and active in the NPI registry since June 2008. The organization lists Max Steven Mancillas, Owner, as its authorized official.

NPPES Registry Identity

NPI1164681409

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameFOUR EYES OPTICAL, LC

Location Address11232 W 135TH STOverland Park, KS 66221-9800

Mailing Address11232 W 135th StOverland Park, KS 66221-9800 · (913) 814-7600 · Fax (913) 814-3906

Phone(913) 814-7600

Fax(913) 814-3906

Organization SubpartNo

Authorized OfficialMax Steven MancillasOwner · (913) 814-7600

Enumeration DateJune 2, 2008

Last NPPES UpdateOctober 10, 2008

✔ NPI 1164681409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in KS · 12253

Definition

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.

11232 W 135TH ST, Overland Park, KS 66221

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Other Identifiers 2

Medicare UPINT42536KS

Medicare PIN0001990KS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Four Eyes Optical, Lc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Four Eyes Optical, Lc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Max Mancillas, O.D.

Optometry

NPI 1609827971

11548 W 135TH ST
Overland Park, KS 66221

(913) 814-7600

✔ PECOS✔ Accepts Medicare0.3 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Four Eyes Optical, Lc's NPI number?

The NPI number for Four Eyes Optical, Lc is 1164681409. It was assigned to this organization in the NPPES registry on June 2, 2008.

Where is Four Eyes Optical, Lc located?

Four Eyes Optical, Lc is located at 11232 W 135th St, Overland Park, KS 66221. The listed phone number is (913) 814-7600.

What is Four Eyes Optical, Lc's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Four Eyes Optical, Lc enrolled in Medicare?

Yes. Four Eyes Optical, Lc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Four Eyes Optical, Lc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Four Eyes Optical, Lc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Four Eyes Optical, Lc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Anthem Blue Cross and Blue Shield and 2 other insurers list Four Eyes Optical, Lc 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 Four Eyes Optical, Lc was last updated on October 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.