MEDICARE: INSIGHT EYECARE SPECIALTIES INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	2002015841	MO
2	152W00000X	Optometrist
3	332B00000X	Durable Medical Equipment & Medical Supplies
4	207W00000X	Ophthalmology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285728196
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INSIGHT EYECARE SPECIALTIES INC.

Provider Business Mailing Address
First Line	:	19045 EAST VALLEY VIEW PARKWAY,
Second Line	:	SUITE A
City	:	INDEPENDENCE
State	:	MO
Zip	:	64055-7030
Country	:	US
Telephone Number	:	816-795-7777
Fax Number	:	816-795-1290

Provider Business Practice Location Address
First Line	:	9596 N MCGEE ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64155-8103
Country	:	US
Telephone Number	:	816-476-4017
Fax Number	:	816-476-4021

Authorized Official
Title or Position	:	CEO
Name	:	CHAD ALLEN PHILLIPS
Credential	:
Telephone Number	:	816-795-7777

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	08/18/2025

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