Organization
SPARKS EYE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA SPARKS O.D. (OWNER)
(316) 201-1837
Entity
Organization
Contact information
Practice address
307 W HWY 54, STE 100, ANDOVER, KS 67002-7846
(316) 201-1837
Mailing address
307 W US HIGHWAY 54 STE 100, ANDOVER, KS 67002-7849
(316) 201-1837
(316) 239-6014
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1496
KS
Other
Enumeration date
10/10/2016
Last updated
03/31/2020
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