| Midland Eye Care Llc | |
|
15345 W 119th St Olathe KS 66062-1074 | |
| (913) 428-7911 | |
| (913) 791-0197 |
| Full Name | Midland Eye Care Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 15345 W 119th St, Olathe, Kansas |
| Authorized Official Name and Position | Chad E. Renner (OPTOMETRIST/OWNER) |
| Authorized Official Contact | 9134852104 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Midland Eye Care Llc 15345 W 119th St Olathe KS 66062-1074 Ph: (913) 428-7911 | Midland Eye Care Llc 15345 W 119th St Olathe KS 66062-1074 Ph: (913) 428-7911 |
| NPI Number | 1962282392 |
|---|---|
| Provider Enumeration Date | 10/03/2023 |
| Last Update Date | 10/03/2023 |
| Medicare PECOS PAC ID | 0345687554 |
|---|---|
| Medicare Enrollment ID | O20240325000224 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962282392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Chad E Renner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1841351426 PECOS PAC ID: 6002907698 Enrollment ID: I20070810000735 |
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