Healthcare Provider Details

I. General information

NPI: 1740291657
Provider Name (Legal Business Name): REIFSCHNEIDER EYE CENTER, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2006
Last Update Date: 01/27/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 6TH AVE SUITE 100
LEAVENWORTH KS
66048-3222
US

IV. Provider business mailing address

1001 6TH AVE SUITE 100
LEAVENWORTH KS
66048-3222
US

V. Phone/Fax

Practice location:
  • Phone: 913-682-2900
  • Fax: 913-682-8913
Mailing address:
  • Phone: 913-682-2900
  • Fax: 913-682-8913

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: RENEE MICHELE BELFORD
Title or Position: PRACTICE MANAGER
Credential: COA
Phone: 913-682-2900