Organization
SUKAROMYA VISION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARVITREE SUKAROMYA O.D. (OWNER)
(816) 510-5872
Entity
Organization
Contact information
Practice address
9701 METCALF AVE, OVERLAND PARK, KS 66212-2219
(913) 383-8818
Mailing address
9701 METCALF AVE, OVERLAND PARK, KS 66212-2219
(913) 383-8818
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1791
KS
Other
Enumeration date
12/14/2013
Last updated
12/14/2013
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