Organization
JACKSON COUNTY EYE CLINIC INC.
Active
Other names
Eyecare Associates of Lee's Summit, Eyecare Associates of Lees Summit
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA D HEAFNER (ADMIN/CREDENTIALING SPECIALIST)
(816) 524-8900
Entity
Organization
Contact information
Practice address
221 NW MCNARY CT, LEES SUMMIT, MO 64086-4011
(816) 524-8900
(816) 525-2042
Mailing address
221 NW MCNARY CT, LEES SUMMIT, MO 64086-4011
(816) 524-8900
(816) 525-2042
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
T02710
MO
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0700420002
NORIDIAN
MO
01
—
13228014
BCBS GROUP NUMBER
MO
01
—
CI2551
MEDICARE RR
MO
Enumeration date
05/31/2006
Last updated
06/18/2025
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