Organization
PROFESSIONAL EYECARE - FOUNTAINS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE LORRAINE ROYER (MANAGED CARE MANAGER)
(913) 696-0092
Entity
Organization
Contact information
Practice address
9216 METCALF AVE # 9216A, OVERLAND PARK, KS 66212-1476
(913) 387-4134
(913) 652-6800
Mailing address
9216 METCALF AVE # 9216A, OVERLAND PARK, KS 66212-1476
(913) 387-4134
(913) 652-6800
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1308
KS
Other
Enumeration date
01/17/2007
Last updated
05/31/2022
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