Healthcare Provider Details

I. General information

NPI: 1740194737
Provider Name (Legal Business Name): LENEXA FAMILY EYECARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9350 MARSHALL DR
LENEXA KS
66215-3845
US

IV. Provider business mailing address

11613 TOMAHAWK CREEK PKWY APT G
LEAWOOD KS
66211-2632
US

V. Phone/Fax

Practice location:
  • Phone: 913-227-3706
  • Fax:
Mailing address:
  • Phone: 913-227-3706
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number StateNULL

VIII. Authorized Official

Name: BURT SCHREIBER
Title or Position: OWNER
Credential: OD
Phone: 816-797-4700