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Organization

EYE ASSOCIATES OF LEAWOOD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. VINCENT A PENNIPEDE OD (OWNER)
(913) 339-9090
Entity
Organization

Contact information

Practice address
15069 NALL AVE, LEAWOOD, KS 66223
(913) 825-2600
(913) 339-6417
Mailing address
10120 W 119TH ST, OVERLAND PARK, KS 66213
(913) 339-9090
(913) 339-6417

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
38365011
BLUE CROSS BLUE SHIELD OF KANSAS CITY
MO
Enumeration date
04/02/2007
Last updated
04/09/2009
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