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Provider Information for 1811274962

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

INSIGHT EYECARE SPECIALTIES INC

Organization Subpart: NO

Organization NPI: 1811274962

Calendar   Last Updated:  2011-11-03
  Certification Date: 

Details

Name Value
NPI 1811274962
Enumeration Date 2011-11-03
NPI Type 2- Organization
Status Active
Authorized Official Information Name: CHAD A PHILLIPS
Title: CEO
Phone: 816-795-7777
Mailing Address 19045 EAST VALLEY VIEW PARKWAY SUITE A
INDEPENDENCE, MO 64055-9942
United States

Phone: 816-795-7777 | Fax: 816-795-1290
View Map External Link
Primary Practice Address 1518 WALNUT ST
KANSAS CITY, MO 64108-1338
United States

Phone: 816-474-1916 | Fax: 816-474-4228
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 193400000X SINGLE SPECIALTY GROUP
152W00000X - Optometrist