Provider Demographics
NPI:1851560106
Name:LITTLEFIELD OPTOMETRY, LLC
Entity Type:Organization
Organization Name:LITTLEFIELD OPTOMETRY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:TOWNSEND
Authorized Official - Last Name:LITTLEFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:816-888-5400
Mailing Address - Street 1:13600 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64145-1670
Mailing Address - Country:US
Mailing Address - Phone:816-888-5400
Mailing Address - Fax:816-888-5401
Practice Address - Street 1:13600 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64145-1670
Practice Address - Country:US
Practice Address - Phone:816-888-5400
Practice Address - Fax:816-888-5401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-20
Last Update Date:2014-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSKS1403152W00000X
KS1403-3152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MODT2504Medicare PIN
KS5600650001Medicare NSC
KST42508Medicare UPIN
MODT2504OtherNPI GROUP PTAN
KST42508Medicare UPIN
MO1851560106OtherGROUP NPI
KS5600650001Medicare NSC