Organization
STATE LINE EYE CARE CENTER, PC
Active
Other names
Brookside Eye Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
LILLIAM (LILY) S YOHN (OFFICE MANAGER)
(816) 333-8600
Entity
Organization
Contact information
Practice address
520 E 63RD ST, BROOKSIDE EYE CARE CENTER, KANSAS CITY, MO 64110-3330
(816) 333-8600
(816) 444-3304
Mailing address
520 E 63RD ST, KANSAS CITY, MO 64110-3330
(816) 333-8600
(816) 444-3304
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
05/26/2009
Last updated
05/18/2022
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