Healthcare Provider Details

I. General information

NPI: 1346489747
Provider Name (Legal Business Name): EYE CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2009
Last Update Date: 01/26/2022
Certification Date: 01/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11010 HASKELL AVE
KANSAS CITY KS
66109-8500
US

IV. Provider business mailing address

4801 S CLIFF AVE SUITE 100
INDEPENDENCE MO
64055-7015
US

V. Phone/Fax

Practice location:
  • Phone: 816-478-1230
  • Fax: 816-478-4413
Mailing address:
  • Phone: 816-478-1230
  • Fax: 816-478-4413

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number089800000000385
License Number StateKS

VIII. Authorized Official

Name: MS. MELINDA HAMILTON
Title or Position: EXECUTIVE ASSISTANT
Credential:
Phone: 816-350-4536