Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Alexandra Marie Samuelson, OD

Individual provider Optometrist · NPI 1902336274

Dr. Alexandra Marie Samuelson, OD is an Optometry in Harrisonville, Missouri. Qualified in 2017, 9 years ago. Practices with Eye Care LLC, a 50-clinician group and accepts Medicare assignment. Licensed in Missouri and Texas.

Years since qualifying
9
Licensed in
MO, TX
In the registry since
2017
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

670 S Commercial St
Harrisonville, MO 64701-1653
Phone: (816) 478-1230
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2021020008 (MO)
Optometrist Taxonomy 152W00000X · Licence 9221T (TX)

Record details

NPI number1902336274
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedJune 19, 2017
Last updated in NPPESSeptember 21, 2021
Certification dateSeptember 21, 2021
Mailing address4801 S Cliff Ave Ste 100, Independence, MO 64055-6954

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Eye Care Llc — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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