Individual
AMANDA RACHELLE STROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
7200 W 129TH ST, OVERLAND PARK, KS 66213-2624
(913) 897-9299
(913) 897-3031
Mailing address
7200 W 129TH ST, OVERLAND PARK, KS 66213-2624
(913) 897-9299
(913) 897-3031
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1724
KS
152W00000X
Optometrist
2004034233
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200347910A
—
KS
01
—
36255017
BCBSKC
MO
01
—
651076
BCBSKS
KS
Enumeration date
08/10/2006
Last updated
03/16/2022
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