Organization
PROFESSIONAL EYECARE OAK PARK INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE LORRAINE ROYER (MANAGED CARE MANAGER)
(913) 696-0092
Entity
Organization
Contact information
Practice address
11121 W 95TH ST, OVERLAND PARK, KS 66214-1824
(913) 492-7728
(913) 492-5217
Mailing address
11121 W 95TH ST, OVERLAND PARK, KS 66214-1824
(913) 492-7728
(913) 492-5217
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1308
KS
Other
Enumeration date
01/15/2007
Last updated
08/23/2010
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