SUMMIT EYE CENTER, LLC
NPI 1255716221
Ophthalmology in Lees Summit, MO

Active since July 20, 2015
1621 NW BLUE PARKWAY, LEES SUMMIT, MO 64086(816) 246-2111(816) 246-2181 Get Directions Write a Review

NPPES record last updated: September 20, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Summit Eye Center, Llc NPPES

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

SUMMIT EYE CENTER, LLC (NPI 1255716221) is a healthcare organization registered as an ophthalmology in Lees Summit, Missouri and active in the NPI registry since July 2015. The organization lists Anita Anne Davis, Administrator, as its authorized official.

NPPES Registry Identity

NPI1255716221
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameSUMMIT EYE CENTER, LLC
Location Address1621 NW BLUE PARKWAYLees Summit, MO 64086
Mailing Address1621 Nw Blue ParkwayLees Summit, MO 64086 · (816) 246-2111 · Fax (816) 246-2181
Fax(816) 246-2181
Organization SubpartNo
Authorized OfficialAnita Anne DavisAdministrator · (816) 246-2111
Enumeration DateJuly 20, 2015
Last NPPES UpdateSeptember 20, 2018
✔ NPI 1255716221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in MO · 2004035463
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.
1621 NW BLUE PARKWAY, Lees Summit, MO 64086

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Summit Eye Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Summit Eye Center, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Ophthalmology
NPI 1982696134
1621 NW BLUE PKWY
Lees Summit, MO 64086
(816) 246-1111
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1326087594
215 SE STATE ROUTE 291
Lees Summit, MO 64063
(816) 246-7779
✔ PECOS✔ Accepts Medicare3.0 mi
Optometry
NPI 1740278944
4240 BLUE RIDGE BLVD SUITE 1000
Kansas City, MO 64133
(816) 358-3600
✔ PECOS✔ Accepts Medicare7.4 mi
Ophthalmology
NPI 1154362077
1004 CARONDELET DR STE. 405
Kansas City, MO 64114
(816) 943-1123
✔ PECOS✔ Accepts Medicare11 mi
Ophthalmology
NPI 1497778641
1004 CARONDELET DR SUITE 405
Kansas City, MO 64114
(816) 943-1123
✔ PECOS✔ Accepts Medicare11 mi
Optometry
NPI 1912902644
3400 W 10TH ST
Sedalia, MO 65301
(660) 827-1120
✔ PECOS✔ Accepts Medicare63 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 Summit Eye Center, LLC's NPI number?

The NPI number for Summit Eye Center, LLC is 1255716221. It was assigned to this organization in the NPPES registry on July 20, 2015.

Where is Summit Eye Center, LLC located?

Summit Eye Center, LLC is located at 1621 NW Blue Parkway, Lees Summit, MO 64086. The listed phone number is (816) 246-2111.

What is Summit Eye Center, LLC's specialty?

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

Is Summit Eye Center, LLC enrolled in Medicare?

Yes. Summit Eye Center, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Summit Eye Center, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Summit Eye Center, LLC. 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. The largest specialties are Ophthalmology (3) and Optometry (3). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Summit Eye Center, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Summit Eye Center, LLC 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 Summit Eye Center, LLC was last updated on September 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.