Four Eyes Optical, Lc
NPI 1164681409 · Optometrist · Overland Park, KS
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Four Eyes Optical, Lc is a Optometrist organization in Overland Park, KS (NPI 1164681409).
Provider details
- NPI number
- 1164681409
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Max Mancillas, Owner(913) 814-7600
- License
- 12253 (KS)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-06-02
- Last updated
- 2008-10-10
Frequently asked questions
- What is Four Eyes Optical, Lc's NPI number?
- Four Eyes Optical, Lc's National Provider Identifier (NPI) is 1164681409, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Four Eyes Optical, Lc?
- Four Eyes Optical, Lc is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Four Eyes Optical, Lc located?
- Four Eyes Optical, Lc's practice location on file with NPPES is 11232 W 135th St, Overland Park, KS 66221-9800.
- What is Four Eyes Optical, Lc's phone number?
- The practice phone number listed in the NPPES registry for Four Eyes Optical, Lc is (913) 814-7600.
- Does Four Eyes Optical, Lc accept Medicare?
- Four Eyes Optical, Lc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Four Eyes Optical, Lc?
- The authorized official listed on Four Eyes Optical, Lc's NPPES record is Max Mancillas, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Four Eyes Optical, Lc's NPI active?
- Yes — Four Eyes Optical, Lc's NPI (1164681409) is active in the NPPES registry as of the last update on 2008-10-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.