Professional Eyecare South LLC

NPI #1679198402 in Overland Park, Kansas

Provider Information

NPI Number: 1679198402
Entity Type: Organization
Organization Name: Professional Eyecare South LLC
Primary Specialty: Ophthalmology
Enumeration Date: Jun 8, 2020
Last Updated: Jun 8, 2020

Practice Location

Address: 6575 W 119TH ST
City: Overland Park
State: Kansas
ZIP Code: 66209-2001
Phone: (913) 696-0092

Authorized Official

Name: AUSTIN ANDERSEN, MD
Title: OWNER
Phone: (402) 540-0017

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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