NPI 1114118882

Jon Stoppel, OD

Practitioner Optometrist Overland Park, KS

Practice location

Address: 5703 W 95th St, Overland Park, KS 66207-2919
Phone: (913) 341-4508
Fax: (913) 341-4570

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 1790 (KS)

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Registry record

NPI: 1114118882
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Aug 2007
Record last updated: 7 Aug 2007

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.