Individual
THOMAS R SHELOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD PA
Contact information
Practice address
401 S CLAIRBORNE RD, STE B, OLATHE, KS 66062-1735
(913) 782-1213
(913) 782-4801
Mailing address
401 S CLAIRBORNE RD, STE B, OLATHE, KS 66062-1735
(913) 782-1213
(913) 782-4801
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1075-2
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04524021
BC BS OF KC
KS
01
—
4526530001
CIGNA MEDICARE DMERC
KS
Enumeration date
06/28/2006
Last updated
01/18/2008
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