Provider Demographics
NPI:1659577666
Name:WENDY K. PARSONS, O.D., P.C.
Entity Type:Organization
Organization Name:WENDY K. PARSONS, O.D., P.C.
Other - Org Name:LEE'S SUMMIT FAMILY EYECARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:EDIE
Authorized Official - Middle Name:M
Authorized Official - Last Name:GIBSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-554-7747
Mailing Address - Street 1:519 SW 3RD ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64063-2258
Mailing Address - Country:US
Mailing Address - Phone:816-554-7747
Mailing Address - Fax:816-554-9947
Practice Address - Street 1:519 SW 3RD ST
Practice Address - Street 2:SUITE A
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64063-2258
Practice Address - Country:US
Practice Address - Phone:816-554-7747
Practice Address - Fax:816-554-9947
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-26
Last Update Date:2008-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOT03196152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOR910000OtherMEDICARE
MO34542013OtherBLUE CROSS BLUE SHIELD
MO34542013OtherBLUE CROSS BLUE SHIELD
MOR910000OtherMEDICARE