Provider Demographics
NPI:1104051655
Name:SHARPER VISION, P.A.
Entity type:Organization
Organization Name:SHARPER VISION, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:FLORKOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:913-787-6724
Mailing Address - Street 1:11184 ANTIOCH RD
Mailing Address - Street 2:SUITE 356
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66210-2420
Mailing Address - Country:US
Mailing Address - Phone:913-787-6724
Mailing Address - Fax:913-273-1210
Practice Address - Street 1:23351 PRAIRIE STAR PKWY
Practice Address - Street 2:SUITEA-275
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66227-6201
Practice Address - Country:US
Practice Address - Phone:913-787-6724
Practice Address - Fax:913-273-1210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-27
Last Update Date:2014-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04 30820207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS106878OtherKANSAS
KS200366790BMedicaid
1326013251OtherINDIVIDUAL NPI
KSK38D179Medicaid
KSDR8297OtherRR MEDICARE
KS200366790AMedicaid
KS1104051655OtherGROUP NPI
KSDR8297OtherRR MEDICARE
KSK38D179Medicaid
KSKA1864Medicare PIN