Individual
MR. VINCENT A PENNIPEDE
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
1227
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1437218484
AETNA
KS
01
—
20169013
BCBS KANSAS CITY
KS
Enumeration date
12/06/2006
Last updated
04/20/2009
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