STATE LINE EYE CARE CENTER PC NPI 1174655955

NPI Information

STATE LINE EYE CARE CENTER, PC is an eyewear supplier in Kansas City, MO. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. STATE LINE EYE CARE CENTER, PC NPI is 1174655955. The provider is registered as an organization entity type.
The provider Is Doing Business As State Line Eye Care Center Optical.

The provider's business location address is:

7701 STATE LINE RD
KANSAS CITY, MO
ZIP 64114-635
Phone: (816) 444-2900
Fax: (816) 444-3341

The provider's authorized official is Roland Sabates .
The authorized official title is President and has the following contact phone number (816) 444-2900.

The enumeration date for this NPI number is 3/9/2007 and was last updated on 8/1/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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