Individual
DR. ANDREA M. BEATTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
16202 MIDLAND DR, SHAWNEE, KS 66217-9535
(913) 962-2010
(913) 962-2013
Mailing address
16202 MIDLAND DR, SHAWNEE, KS 66217-9535
(913) 962-2010
(913) 962-2013
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
1601
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30585025
BLUE CROSS BLUE SHIELD MO
KS
Enumeration date
08/21/2007
Last updated
12/13/2013
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