Individual
JING YE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
241 E LINWOOD BLVD, KANSAS CITY, MO 64111-1119
(816) 216-0001
(816) 216-0013
Mailing address
4121 BLACKJACK OAK DR, LAWRENCE, KS 66047-1946
(785) 856-2036
(785) 856-2036
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2006022865
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MO2865
EYEMED
MO
Enumeration date
01/10/2007
Last updated
01/25/2010
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