Individual
DR. JANE WINKLER PHILBROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
5150 ROE BLVD, ROELAND PARK, KS 66205-2359
(913) 403-9013
(913) 273-5444
Mailing address
7161 STATE AVE, PO BOX 12174, KANSAS CITY, KS 66112-3001
(913) 299-3548
(913) 299-9830
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1338
KS
152W00000X
Optometrist
T03004
MO
152WP0200X
Pediatric Optometrist
1338
KS
152WP0200X
Pediatric Optometrist
T03004
MO
152WV0400X
Vision Therapy Optometrist
1338
KS
152WV0400X
Vision Therapy Optometrist
T03004
MO
152WX0102X
Occupational Vision Optometrist
1338
KS
152WX0102X
Occupational Vision Optometrist
T03004
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100219020D
—
KS
01
—
19207014
BLUE CROSS BLUE SHEILD
KS
Enumeration date
06/16/2006
Last updated
09/23/2021
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