Organization
PROFESSIONAL EYECARE MANAGEMENT INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MICHAEL ANDERSEN OD (OWNER)
(402) 540-0017
Entity
Organization
Contact information
Practice address
3201 S IOWA ST, LAWRENCE, KS 66046-5205
(785) 383-3417
Mailing address
11121 W 95TH ST, OVERLAND PARK, KS 66214-1824
(785) 838-3417
(913) 492-5217
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1014-3
KS
Other
Enumeration date
08/07/2018
Last updated
08/15/2018
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