Healthcare Provider Details

I. General information

NPI: 1598929424
Provider Name (Legal Business Name): GALBRECHT EYECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2008
Last Update Date: 12/30/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

395 N K 7 HWY
OLATHE KS
66061-8901
US

IV. Provider business mailing address

395 N K 7 HWY
OLATHE KS
66061-8901
US

V. Phone/Fax

Practice location:
  • Phone: 913-764-9300
  • Fax: 913-764-9308
Mailing address:
  • Phone: 913-764-9300
  • Fax: 913-764-9308

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number1771
License Number StateKS

VIII. Authorized Official

Name: DR. DIANE MARIE GALBRECHT
Title or Position: OWNER
Credential: OD
Phone: 913-764-9300