Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1376003673 Individual Practitioner Female Practitioner

Dr. Shannon Elizabeth Cummings , OD

Optometrist • Independence, MO

Professional Overview & Biography Verified Profile Summary

Dr. Shannon Cummings, OD is a registered healthcare professional specializing in Optometrist in Independence, MO. Practice services are available at 4801 S CLIFF AVE STE 100 under active NPI credentials.

Frequently performed procedures and clinical services include established patient complete exam of visual system, established patient problem focused exam of visual system, new patient complete exam of visual system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4801 S Cliff Ave Ste 100

Independence, MO 640556954

Telephone 8164781230
Fax 8163504585
Associated Practice Facility / Clinic
🏢 Eye Care Llc Facility NPI 1750374567

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Independence, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.8 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
39 Specialists

Practicing in Independence, MO (1288 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
30.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92014 Established patient complete exam of visual system
23 23 $167.00 $116.85

Medical Specialties & State Licenses

CMS Verified: 2021-03-29
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License MO 2019026756

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Optometrist

NUCC Taxonomy Code: 152W00000X

State License KS 2105

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Palmetto Gba Railroad Medicare
Q00037687

Secondary Practice Locations

4801 E Linwood Blvd

Kansas City, MO 641282226

Phone: 8168614700

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1023001302

Doctor of Optometry

Dr. Carl Stout , MD

Ophthalmology

NPI 1023001393

Doctor of Medicine (M.D.)

NPI 1043203300

Doctor of Optometry

NPI 1063257269

Doctor of Optometry

NPI 1114053055

Doctor of Optometry

NPI 1114282258

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location April 14, 2020

Registered at 4801 S CLIFF AVE STE 100, INDEPENDENCE, MO 640556954 (Tel: 8164781230)

📍
Updated Business Mailing Address April 14, 2020

Registered at 4801 S CLIFF AVE STE 100, INDEPENDENCE, MO 640556954 (Tel: 8164781230)

👤
Provider Name / Credentials Updated April 14, 2020

Recorded as SHANNON CUMMINGS, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 14, 2020

Optometrist (License #2019026756 in MO)

NPI Profile Active March 22, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location March 22, 2019

Registered at 4801 E LINWOOD BLVD, KANSAS CITY, MO 641282226 (Tel: 8168614700)

📍
Updated Business Mailing Address March 22, 2019

Registered at 4801 E LINWOOD BLVD, KANSAS CITY, MO 641282226

👤
Provider Name / Credentials Updated March 22, 2019

Recorded as SHANNON RENNER, FUTURE OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 22, 2019

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 22, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376003673
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 22, 2019
Last Update: March 29, 2021
Sole Proprietor: No

Mailing Address

4801 S Cliff Ave Ste 100

Independence, MO 640556954

Phone: 8164781230

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.