Professional Eyecare - Fountains INC

NPI #1518019199 in Overland Park, Kansas

Provider Information

NPI Number: 1518019199
Entity Type: Organization
Organization Name: Professional Eyecare - Fountains INC
Primary Specialty: Optometrist
Enumeration Date: Jan 17, 2007
Last Updated: May 31, 2022

Practice Location

Address: 9216 METCALF AVE # 9216A
City: Overland Park
State: Kansas
ZIP Code: 66212-1476
Phone: (913) 387-4134

Authorized Official

Name: DENISE LORRAINE ROYER
Title: MANAGED CARE MANAGER
Phone: (913) 696-0092

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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