Provider Demographics
NPI:1609823384
Name:NASS, INC
Entity Type:Organization
Organization Name:NASS, INC
Other - Org Name:THE EYE CENTER OF PARKVILLE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:VERACHTERT
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:816-505-0100
Mailing Address - Street 1:6325 LEWIS DR
Mailing Address - Street 2:STE 114
Mailing Address - City:PARKVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:64152-3699
Mailing Address - Country:US
Mailing Address - Phone:816-505-0100
Mailing Address - Fax:816-505-2301
Practice Address - Street 1:6325 LEWIS DR
Practice Address - Street 2:STE 114
Practice Address - City:PARKVILLE
Practice Address - State:MO
Practice Address - Zip Code:64152-3699
Practice Address - Country:US
Practice Address - Phone:816-505-0100
Practice Address - Fax:816-505-2301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-28
Last Update Date:2020-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO5291800001Medicare NSC
MOR360000Medicare ID - Type UnspecifiedGROUP NUMBER