State Line Eye Care Center, PC

NPI #1255591160 in Belton, Missouri

Provider Information

NPI Number: 1255591160
Entity Type: Organization
Organization Name: State Line Eye Care Center, PC
Primary Specialty: Ophthalmology
Enumeration Date: Jun 13, 2008
Last Updated: Mar 3, 2015

Practice Location

Address: 424 E NORTH AVE
City: Belton
State: Missouri
ZIP Code: 64012-2017
Phone: (816) 322-6100

Authorized Official

Name: LILLIAM (LILY) S YOHN
Title: OFFICE MANAGER
Phone: (816) 444-2900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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