Organization
LITTLEFIELD EYE ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFERY R. GRIMES O.D. (OPTOMETRIST)
(816) 523-8421
Entity
Organization
Contact information
Practice address
220 W 75TH STREET, KANSAS CITY, MO 64114
(816) 523-8421
(816) 523-0909
Mailing address
220 W 75TH ST, KANSAS CITY, MO 64114-1540
(913) 948-0152
(816) 523-0909
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TO 3345
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
=========
TAX ID NUMBER
MO
Enumeration date
11/13/2006
Last updated
01/11/2022
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