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Organization

BURLINGAME & MOCK VISION ASSOCIATES, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BUFFIE J MOCK O.D. (DOCTOR)
(913) 451-0001
Entity
Organization

Contact information

Practice address
11500 W. 119TH STREET, OVERLAND PARK, KS 66213-2002
(913) 451-0001
(913) 451-1659
Mailing address
11500 W. 119TH STREET, OVERLAND PARK, KS 66213-2002

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
1259-2
KS
152W00000X
Optometrist
Primary
1275
KS
152W00000X
Optometrist
1577
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1259-2
LIC. #
KS
01
1275
LIC. #
KS
01
1577
LIC. #
KS
Enumeration date
02/22/2007
Last updated
08/12/2009
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