Organization
HEART OF AMERICA EYE CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY RAYMOND KWAPISZESKI MD (CEO)
(913) 362-3210
Entity
Organization
Contact information
Practice address
10985 CODY ST STE 120, OVERLAND PARK, KS 66210-1243
(913) 492-0021
(913) 492-0093
Mailing address
10985 CODY ST STE 120, OVERLAND PARK, KS 66210-1243
(913) 492-0021
(913) 492-0093
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0417539
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23482016
BCBS KC GR NUMBER
MO
Enumeration date
07/20/2006
Last updated
05/05/2021
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