| |
4741 S Cochise Dr, Independence, MO 64055-6974 | |
(816) 478-1230 | |
(816) 478-4413 |
Full Name | |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 4741 S Cochise Dr, Independence, Missouri |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750374567 | NPI | - | NPPES |
CS0297 | Other | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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4801 S Cliff Ave, Suite 100, Independence, MO 64055-7015 Ph: (816) 478-1230 | 4741 S Cochise Dr, Independence, MO 64055-6974 Ph: (816) 478-1230 |