Organization
EYE SURGERY CENTER-NORTHLAND LLC
Active
Parent organization
EYE CARE, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
EYE CARE, LLC
Authorized official
MELINDA HAMILTON (EXECUTIVE ASSISTANT)
(816) 350-4536
Entity
Organization
Contact information
Practice address
9401 N OAK TRFY, SUITE 124, KANSAS CITY, MO 64155-2233
(816) 478-1230
(816) 350-4585
Mailing address
4801CLIFF AVE, SUITE 100, INDEPENDENCE, MO 64055
(816) 478-1230
(816) 350-4585
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
191
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00368401
RAILROAD MEDICARE
MO
Enumeration date
05/18/2006
Last updated
07/03/2024
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