Organization
CHILDREN'S EYE CARE, P.A.
Active
Organization
CHILDREN'S EYE CARE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID E BRAVERMAN MD (OWNER)
(913) 491-9123
Entity
Organization
Contact information
Practice address
4601 W 109TH ST, SUITE 250, OVERLAND PARK, KS 66211-1318
(913) 491-9123
(913) 491-6608
Mailing address
4601 W 109TH ST, SUITE 250, OVERLAND PARK, KS 66211-1318
(913) 491-9123
(913) 491-6608
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0417188
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06907178
BC/BS
—
01
—
07379
SPECTERA
—
01
—
0809553
UNITED HEALTHCARE
—
01
—
100124250C
UNICARE
—
05
—
100124250C
—
KS
01
—
180012951
RAIL ROAD MEDICARE
—
01
—
200730638
MISSOURI MEDICAID
KS
01
—
2343355017
CIGNA
—
01
—
30991
PRINCIPAL
—
01
—
4001325
AETNA
—
01
—
446582
CENTRAL STATES
—
01
—
4465821
HEALTHNET
—
01
—
461214
CHILDRENS MERCY FAMILY HEALTH PARTNERS
—
Enumeration date
04/29/2008
Last updated
04/29/2008
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