Provider Demographics
NPI:1154769719
Name:SMART FAMILY VISION, LLC
Entity type:Organization
Organization Name:SMART FAMILY VISION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:COLE
Authorized Official - Middle Name:PAXTON
Authorized Official - Last Name:SMART
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:913-706-2318
Mailing Address - Street 1:24823 W 95TH TER
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66227-7337
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1501 SW WANAMAKER RD
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66604-3803
Practice Address - Country:US
Practice Address - Phone:785-272-3782
Practice Address - Fax:785-272-2684
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-05
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1879152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty