State Line Eye Care Center, Pc in Kansas City - Eyewear Supplier
State Line Eye Care Center, Pc - NPI 1174655955
State Line Eye Care Center, Pc is a Eyewear Supplier in Kansas City, Missouri. State Line Eye Care Center, Pc practices all healthcare services and medical treatments related to Eyewear Supplier. The NPI Number for State Line Eye Care Center, Pc is 1174655955. The last update date is 2008-08-01.
State Line Eye Care Center, Pc's current location address is 7701 State Line Rd, Kansas City, Missouri. You can contact this provider via phone number 8164442900 and fax number 8164443341. The mailing address for State Line Eye Care Center, Pc is 7701 State Line Rd, Kansas City, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | State Line Eye Care Center, Pc |
|---|---|
| Address | 7701 State Line Rd, Kansas City, Missouri |
| Phone Number | 8164442900 |
| Fax Number | 8164443341 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Sabates Roland |
| Credentials | M.D. |
| Telephone Number | 8164442900 |
NPI Number Detail
| NPI Number | 1174655955 |
|---|---|
| Provider Enumeration Date | 2007-03-09 |
| Last Updated Date | 2008-08-01 |
Provider Mailing Address Detail
| Address | 7701 State Line Rd |
|---|---|
| City | Kansas City |
| State | Missouri (MO) |
| Post Code | 641141635 |
| Phone Number | 8164442900 |
| Fax Number | 8164443341 |
Provider's Primary Taxonomy Detail
| Speciality | Eyewear Supplier |
|---|---|
| Taxonomy | 332H00000X |
|
Definition: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 19517031 | MO | BCBS | |
| 323585208 | MO | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to State Line Eye Care Center, Pc by the Centers for Medicare & Medicaid Services?
The State Line Eye Care Center, Pc has been issued the NPI (National Provider Identifier) 1174655955, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where State Line Eye Care Center, Pc is physically located?
The State Line Eye Care Center, Pc is situated at the following address: 7701 State Line Rd, Kansas City, MO 641141635.
What is the State Line Eye Care Center, Pc's specialty and taxonomy code?
The State Line Eye Care Center, Pc's specialty is Eyewear Supplier, and the corresponding taxonomy code is 332H00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1174655955 to State Line Eye Care Center, Pc?
The Centers for Medicare & Medicaid Services originally issued the 1174655955 to State Line Eye Care Center, Pc on 2007-03-09.
As of what date were the State Line Eye Care Center, Pc's details last updated?
The information pertaining to the State Line Eye Care Center, Pc, including its address, specialty, and other details, was most recently updated on 2008-08-01.