Individual
SCOTT ERIC OLITSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25162 ARMAGOSA DR, LAGUNA NIGUEL, CA 92677
(913) 908-0059
(681) 231-6256
Mailing address
12641 ANTIOCH RD # 1197, OVERLAND PARK, KS 66213-1701
(913) 908-0059
(681) 231-6256
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
04-29858
KS
207W00000X
Ophthalmology Physician
Primary
2002023847
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205919202
—
MO
Enumeration date
06/05/2006
Last updated
01/24/2023
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