Provider Demographics
NPI:1255364725
Name:20/20 EYE CARE, LLC
Entity type:Organization
Organization Name:20/20 EYE CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER LLC/OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DEANNA
Authorized Official - Middle Name:J
Authorized Official - Last Name:POWELL
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:913-254-7456
Mailing Address - Street 1:10123 CHERRY LN
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66220-9763
Mailing Address - Country:US
Mailing Address - Phone:913-254-7456
Mailing Address - Fax:913-254-9613
Practice Address - Street 1:10123 CHERRY LN
Practice Address - Street 2:
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66220-9763
Practice Address - Country:US
Practice Address - Phone:913-254-7456
Practice Address - Fax:913-254-9613
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS36090012OtherBLUE CROSS BLUE SHIELD KC
KS40935OtherSPECTERA
KS36090012OtherBLUE CROSS BLUE SHIELD KC