NPI 1013142694
State Line Eye Care Center, PC
Practice location
- Address
- 520 E 63rd St Brookside Eye Care Center, Kansas City, MO 64110-3330
- Phone
- (816) 333-8600
- Fax
- (816) 444-3304
- Mailing address
- 520 E 63rd St, Kansas City, MO 64110-3330
Authorised official
- Name
- Lilliam (lily) S Yohn
- Title
- Office Manager
- Phone
- (816) 333-8600
Registered specialties
Ophthalmology Physician
Primary
Registry record
- NPI
- 1013142694
- Entity type
- Organization
- NPI issued
- 26 May 2009
- Record last updated
- 18 May 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.