Four Eyes Optical, Lc | |
11232 W 135th St, Overland Park, KS 66221-9800 | |
(913) 814-7600 | |
(913) 814-3906 |
Full Name | Four Eyes Optical, Lc |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 11232 W 135th St, Overland Park, Kansas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164681409 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 12253 (Kansas) | Primary |
Provider Name | Max S Mancillas |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1609827971 PECOS PAC ID: 1557373529 Enrollment ID: I20060613000212 |
Mailing Address | Practice Location Address |
---|---|
Four Eyes Optical, Lc 11232 W 135th St, Overland Park, KS 66221-9800 Ph: (913) 814-7600 | Four Eyes Optical, Lc 11232 W 135th St, Overland Park, KS 66221-9800 Ph: (913) 814-7600 |
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