Organization
PEEPERS OPTICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN E GROUSNICK (OWNER)
(913) 341-5081
Entity
Organization
Contact information
Practice address
9363 W 87TH ST, OVERLAND PARK, KS 66212
(913) 341-5081
(913) 341-5081
Mailing address
9363 W 87TH ST, OVERLAND PARK, KS 66212
(913) 341-5081
(913) 341-5081
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W0050243036
KS WITHHOLDING
KS
Enumeration date
06/13/2007
Last updated
08/22/2020
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