Organization
BROOKSIDE OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. R LEON BUTLER (OPTICIAN)
(913) 390-9300
Entity
Organization
Contact information
Practice address
14130 W 119TH ST, OLATHE, KS 66062-6621
(913) 390-9300
(913) 390-9301
Mailing address
14130 W 119TH ST, OLATHE, KS 66062-6621
(913) 390-9300
(913) 390-9301
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
02/11/2009
Last updated
02/11/2009
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