Organization
POWELL VISION CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEANNA J. POWELL O.D. (MEMBER LLC/OPTOMETRIST)
(913) 338-1749
Entity
Organization
Contact information
Practice address
11701 METCALF AVE, OVERLAND PARK, KS 66210-2201
(913) 338-1749
(913) 338-2918
Mailing address
10122 THEDEN CIR, LENEXA, KS 66220-2695
(913) 338-1749
(913) 338-2918
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33797018
BCBS OF KC
—
Enumeration date
07/08/2006
Last updated
08/22/2020
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