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Organization

ECK FAMILY EYECARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JONATHAN A ECK O.D. (OWNER/DOCTOR)
(913) 268-3300
Entity
Organization

Contact information

Practice address
16100 W 65TH ST, SHAWNEE, KS 66217-9301
(913) 268-3300
(913) 268-3526
Mailing address
16100 W 65TH ST, SHAWNEE, KS 66217-9301
(913) 268-3300
(913) 268-3526

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1834
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200617020A
KS
Enumeration date
10/21/2009
Last updated
06/04/2015
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