Organization
EYE ASSOCIATES OF OVERLAND PARK PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VINCENT A PENNIPEDE OD (OWNER)
(913) 339-9090
Entity
Organization
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13235027
BLUE CROSS BLUE SHIELD OF KANSAS CITY
MO
01
—
447929
BLUE CROSS BLUE SHIELD OF KANSAS
KS
01
—
DB3942
RR MEDICARE
KS
Enumeration date
12/15/2006
Last updated
07/11/2014
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