Provider Demographics
NPI:1750392643
Name:KESSLER EYECARE, P.A.
Entity type:Organization
Organization Name:KESSLER EYECARE, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:L
Authorized Official - Last Name:KESSLER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:913-438-1543
Mailing Address - Street 1:17706 W 84TH TER
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66219-8043
Mailing Address - Country:US
Mailing Address - Phone:913-438-1543
Mailing Address - Fax:913-894-5795
Practice Address - Street 1:11383B W 95TH ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66214-1826
Practice Address - Country:US
Practice Address - Phone:913-599-4393
Practice Address - Fax:913-599-0543
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1485152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KST840000Medicare ID - Type UnspecifiedGROUP #