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Individual

MARK L SIEFKES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
10120 W 119TH ST, OVERLAND PARK, KS 66213
(913) 339-9090
(913) 339-6417
Mailing address
10120 W 119TH ST, OVERLAND PARK, KS 66213
(913) 339-9090
(913) 339-6417

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1539
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
25757015
BCBSKC FOR EYE ASSOCIATES OF OVERLAND PARK
MO
01
25757025
BCBSKC FOR EYE ASSOCIATES OF OLATHE
MO
01
25757035
BCBSKC FOR EYE ASSOCIATES OF SHAWNEE
MO
01
25757045
BCBSKC FOR EYE ASSOCIATES OF LEAWOOD
MO
01
410043137
RR MEDICARE FOR EYE ASSOCIATES OF OVERLAND PARK
KS
01
5109645
AETNA
KS
01
KA1109006
MEDICARE PART B FOR EYE ASSOCIATES OF LEAWOOD
01
R178660
MEDICARE PART B FOR EYE ASSOCIATES OF SHAWNEE
KS
01
R188660
MEDICARE PART B FOR EYE ASSOCIATES OF OLATHE
KS
01
R198660
MEDICARE PART B FOR EYE ASSOCIATES OF OVERLAND PARK
KS
Enumeration date
12/08/2006
Last updated
04/20/2009
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