State Line Eye Care Center, PC
NPI #1013142694 in Kansas City, Missouri
Provider Information
- NPI Number
- 1013142694
- Entity Type
- Organization
- Organization Name
- State Line Eye Care Center, PC
- Primary Specialty
- Ophthalmology
- Enumeration Date
- May 26, 2009
- Last Updated
- May 18, 2022
Practice Location
- Address
- 520 E 63RD ST
- Address 2
- BROOKSIDE EYE CARE CENTER
- City
- Kansas City
- State
- Missouri
- ZIP Code
- 64110-3330
- Phone
- (816) 333-8600
Authorized Official
- Name
- LILLIAM (LILY) S YOHN
- Title
- OFFICE MANAGER
- Phone
- (816) 333-8600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Ophthalmology |
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