NPI 1104305564

Professional Eyecare Management INC.

Organisation Optometrist Lawrence, KS

Practice location

Address: 3201 S Iowa St, Lawrence, KS 66046-5205
Phone: (785) 383-3417
Mailing address: 11121 W 95th St, Overland Park, KS 66214-1824

Authorised official

Name: John Michael Andersen
Title: Owner
Phone: (402) 540-0017

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 1014-3 (KS)

Other Optometrist providers in Kansas →

Registry record

NPI: 1104305564
Entity type: Organization
NPI issued: 7 Aug 2018
Record last updated: 15 Aug 2018

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.