KU EYE SURGERY & LASER CENTER LLC NPI 1083952113

NPI Information

NPI: 1083952113
Provider Name: KU EYE SURGERY & LASER CENTER, LLC
Classification: Clinic/Center - 261QS0132X
Entity Type: Organization

Specialization: Ophthalmologic Surgery

Address:
7400 STATE LINE RD
SUITE 212
PRAIRIE VILLAGE, KS
ZIP 66208
Phone: (913) 588-2020
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KU EYE SURGERY & LASER CENTER, LLC is an ophthalmologic surgery clinic center in Prairie Village, KS. KU EYE SURGERY & LASER CENTER, LLC NPI is 1083952113. The provider is registered as an organization entity type.

The provider's business location address is:

7400 STATE LINE RD
SUITE 212
PRAIRIE VILLAGE, KS
ZIP 66208-444
Phone: (913) 588-2020
Fax: (913) 574-1087

The provider's authorized official is John E Sutphin .
The authorized official title is President and has the following contact phone number (913) 588-6606.

The enumeration date for this NPI number is 1/24/2013 and was last updated on 10/19/2015.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QS0132X	Clinic/Center	Ophthalmologic Surgery	4652236	KANSAS	Yes

Other Identifiers

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

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	201099022A	MEDICAID	KANSAS
2	KA3250	OTHER		MEDICARE PTAN
3	KA3250	MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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