Organization
CAVANAUGH EYE CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY B CAVANAUGH MD (OWNER)
(913) 897-9200
Entity
Organization
Contact information
Practice address
6200 W 135TH ST, SUITE 300, OVERLAND PARK, KS 66223-4844
(913) 897-9200
(913) 897-9233
Mailing address
6200 W 135TH ST, SUITE 300, OVERLAND PARK, KS 66223-4844
(913) 897-9200
(913) 897-9233
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0423515
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37891017
BCBS KC
MO
Enumeration date
08/03/2006
Last updated
08/20/2007
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