Individual
DR. RAYMOND J BRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD, FAAO, FOAA
Contact information
Practice address
5820 LAMAR AVE STE 100, MISSION, KS 66202-2647
(913) 432-7676
(913) 432-7717
Mailing address
5820 LAMAR AVE STE 100, MISSION, KS 66202-2647
(913) 432-7676
(913) 432-7717
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1132-3
KS
152WC0802X
Corneal and Contact Management Optometrist
1132-3
KS
152WP0200X
Pediatric Optometrist
1132-3
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100219700B
—
KS
Enumeration date
03/17/2007
Last updated
05/11/2017
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