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JUSTIN WILLIAM DAVENPORT O.D.
NPI 1376623462
Optometrist in Kansas City, MO

Active since October 16, 2006PECOS Enrolled
400 NW BARRY RD, KANSAS CITY, MO 64155(816) 468-6006(816) 436-0924 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Justin William Davenport O.d. NPPES

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

JUSTIN WILLIAM DAVENPORT O.D. (NPI 1376623462) is an individual optometrist in Kansas City, Missouri, licensed in Missouri (2006022079) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376623462
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameJUSTIN WILLIAM DAVENPORTCredential: O.D.
Location Address400 NW BARRY RDKansas City, MO 64155-2725
Mailing Address11103 West Ave, Ste 6San Antonio, TX 78213-1370 · (210) 524-6803 · Fax (210) 524-6587
Phone(816) 468-6006
Fax(816) 436-0924
Sole ProprietorNo
Enumeration DateOctober 16, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1376623462 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 MO · 2006022079
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.
400 NW BARRY RD, Kansas City, MO 64155
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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Justin William Davenport O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Justin Davenport reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Visionworks, Inc.
19 mi
Optometrist
1004 INDEPENDENCE CENTER
Independence, MO 64057
  • Reassigned Medicare billing, Missouri enrollment
  • 30 clinicians in this Medicare group
NPI 1649203308 (816) 795-0011

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64155 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.61 typical visit price
range $55.29 – $168.52
Typical copayment $31.90 (range $13.82 – $42.13)
Most-billed visit code 99204
Established Patient
$69.10 typical visit price
range $17.60 – $137.20
Typical copayment $17.27 (range $4.40 – $34.30)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

DR. REMI JEAN MILJAVAC O.D.
Optometrist
400 NW BARRY RD
KANSAS CITY, MO 64155
Clay County (816) 436-7800
LUXOTTICA RETAIL NORTH AMERICA INC
Eyewear Supplier
400 NW BARRY RD, METRO NORTH MALL
KANSAS CITY, MO 64155
Clay County (816) 436-2933

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 Justin Davenport's NPI number?

The NPI number for Justin Davenport is 1376623462. It was assigned to this individual provider in the NPPES registry on October 16, 2006.

Where is Justin Davenport located?

Justin Davenport practices at 400 NW Barry Rd, Kansas City, MO 64155. The listed phone number is (816) 468-6006.

What is Justin Davenport's specialty?

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

Is Justin Davenport enrolled in Medicare?

Yes. Justin Davenport is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Justin Davenport's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Davenport reassigns Medicare benefits to Visionworks, Inc. (Independence, MO). The 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 Justin Davenport's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Justin Davenport accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 4 other insurers list Justin Davenport 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 Justin Davenport was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.