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
3111 W 6TH ST, FAMILY VISION CARE LAWRENCE, LAWRENCE, KS 66049-3101
(913) 491-3737
(913) 469-6686
Mailing address
5520 COLLEGE BLVD, 201, OVERLAND PARK, KS 66211-1630
(913) 491-3737
(913) 469-6686
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100449800A
—
KS
01
—
110802
BCBS
KS
01
—
31661011
BCBSKC
—
05
—
506050301
—
MO
Enumeration date
05/02/2006
Last updated
08/26/2021
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