Individual
MARISA RAYBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D
Contact information
Practice address
12200 BLUE VALLEY PKWY, OVERLAND PARK, KS 66213-2639
(913) 498-8690
(913) 529-0002
Mailing address
9003 W 140TH ST, OVERLAND PARK, KS 66221-2018
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
KS1492
KS
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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