Organization
EYECARE ASSOCIATES OF OSAWATOMIE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KATHY J JAMES (BILLING CLERK)
(913) 256-2176
Entity
Organization
Contact information
Practice address
524 BROWN AVE, OSAWATOMIE, KS 66064-1322
(913) 256-2176
(913) 755-2787
Mailing address
PO BOX 456, OSAWATOMIE, KS 66064-0456
(913) 256-2176
(913) 755-2787
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
43835019
BLUE CROSS BLUE SHIELD OF KANSAS CITY
KS
01
—
650544
MEDICARE ID-TYPE UNSPECIFIED
KS
01
—
CA0104
RAILROAD MEDICARE
KS
01
—
DQ3063
RAILROAD MEDICARE
KS
01
—
KA1721
MEDICARE ID-TYPE UNSPECIFIED
KS
Enumeration date
06/02/2006
Last updated
09/13/2010
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