Organization
ROSEDALE VISION CENTER, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERARD N. LOZADA O.D. (OWNER)
(913) 432-3937
Entity
Organization
Contact information
Practice address
3424 RAINBOW EXT, KANSAS CITY, KS 66103-2081
(913) 432-3937
(913) 432-3862
Mailing address
3424 RAINBOW EXT, KANSAS CITY, KS 66103-2081
(913) 432-3937
(913) 432-3862
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1902876048
NPI TYPE 1
KS
Enumeration date
07/08/2008
Last updated
07/30/2008
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