Individual
DR. BRIAN SCOTT MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
15208 S BLACKBOB RD, OLATHE, KS 66062-3316
(913) 390-4900
(913) 390-4970
Mailing address
15052 S BLACKBOB RD, OLATHE, KS 66062-2663
(913) 390-4900
(913) 390-4970
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1660
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200264720A
—
KS
01
—
33559012
BC/BS
KS
Enumeration date
04/26/2006
Last updated
07/21/2010
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