Organization
COKINGTIN EYE CENTER PA
Active
Organization
COKINGTIN EYE CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE BALESTRIERI (CEO/PRACTICE ADMINISTRATOR)
(913) 491-3737
Entity
Organization
Contact information
Practice address
5520 COLLEGE BLVD, STE 201, OVERLAND PARK, KS 66211-1658
(913) 491-3737
(913) 469-6686
Mailing address
5520 COLLEGE BLVD, STE 201, OVERLAND PARK, KS 66211-1658
(913) 491-3737
(913) 469-6686
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100138550D
—
KS
05
—
100449800A
—
KS
01
—
17788
SPECTERA
—
01
—
31661011
FREEDOM NETWORK
—
01
—
468090
BCBSKS
KS
05
—
506050301
—
MO
05
—
506050319
—
MO
Enumeration date
06/22/2005
Last updated
07/21/2022
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