<unavail> in Lee's Summit, MO

is a Optometrist based in Lee's Summit, Missouri. is licensed to practice in Missouri (license number TO3486) and their current practice location is 301 Ne Mulberry St., Suite 101, Lee's Summit, Missouri. It can be reached at their office (for appointments etc.) via phone at (816) 525-3937.

NPI number for is 1083750384 and their current mailing address is 301 Ne Mulberry St., Suite 101, Lee's Summit, Missouri. does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1083750384.

Contact Information


	301 Ne Mulberry St., Suite 101, Lee's Summit, MO 64086-4533
	(816) 525-3937
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name
Type	Facility
Speciality	Optometrist
Location	301 Ne Mulberry St., Lee's Summit, Missouri
Accepts Medicare Assignments	Does not participate in Medicare Program. The facility may not accept medicare assignment.

NPI Data:

NPI Number: 1083750384
Provider Enumeration Date: 01/30/2007
Last Update Date: 08/22/2020

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083750384	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	TO3486 (Missouri)	Primary
152W00000X	Optometrist	1478-3 (Kansas)	Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
301 Ne Mulberry St., Suite 101, Lee's Summit, MO 64086-4533 Ph: (816) 525-3937	301 Ne Mulberry St., Suite 101, Lee's Summit, MO 64086-4533 Ph: (816) 525-3937

- Optometrist in Lee's Summit, MO