Individual
DR. MATTHEW PHILIP LAURIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
12120 S STRANG LINE RD, OLATHE, KS 66062-5219
(913) 307-9200
(913) 307-9200
Mailing address
13801 CEDAR ST, LEAWOOD, KS 66224-1119
(913) 307-9200
(913) 307-9200
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2000166654
MO
152W00000X
Optometrist
Primary
KS1599
KS
152W00000X
Optometrist
OPC 3482
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100423680A
—
KS
Enumeration date
06/22/2006
Last updated
12/08/2009
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