Organization
STATE LINE EYE CARE CENTER, PC
Active
Parent organization
STATE LINE EYE CARE CENTER, PC
Other names
Cass County Eye Care Center Optical
Organization subpart
Yes
Provider details
NPI number
Legal business name
STATE LINE EYE CARE CENTER, PC
Authorized official
MR. ROLAND SABATES M.D. (PRESIDENT)
(816) 444-2900
Entity
Organization
Contact information
Practice address
424 E NORTH AVE, BELTON, MO 64012-2017
(816) 322-6100
Mailing address
7701 STATE LINE RD, KANSAS CITY, MO 64114-1635
(816) 444-2900
(816) 444-3341
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19517041
BCBS
MO
05
—
328147707
—
MO
Enumeration date
03/09/2007
Last updated
08/01/2008
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