NPI 1164681409

Four Eyes Optical, Lc

Organisation Optometrist Overland Park, KS

Practice location

Address: 11232 W 135th St, Overland Park, KS 66221-9800
Phone: (913) 814-7600
Fax: (913) 814-3906

Authorised official

Name: Max Steven Mancillas
Title: Owner
Phone: (913) 814-7600

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 12253 (KS)

Other Optometrist providers in Kansas →

Registry record

NPI: 1164681409
Entity type: Organization
NPI issued: 2 Jun 2008
Record last updated: 10 Oct 2008

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.