Individual
TYLER OHDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5020 W. 135TH STREET, LEAWOOD, KS 66209
(913) 239-9446
Mailing address
10826 N RICHMOND AVE, KANSAS CITY, MO 64157-6800
(913) 526-1441
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1820
KS
152W00000X
Optometrist
2008024282
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
650517002
PTAN
KS
Enumeration date
08/11/2008
Last updated
04/03/2012
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