Healthcare Provider Details
I. General information
NPI: 1700826229
Provider Name (Legal Business Name): MOYES EYE CENTER, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/07/2006
Last Update Date: 09/10/2020
Certification Date: 09/10/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5151 NW 88TH ST
KANSAS CITY MO
64154-2700
US
IV. Provider business mailing address
5151 NW 88TH ST
KANSAS CITY MO
64154-2700
US
V. Phone/Fax
- Phone: 816-746-9800
- Fax: 816-587-3555
- Phone: 816-746-9800
- Fax: 816-587-3555
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207W00000X |
| Taxonomy | Ophthalmology Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ANDREW
L
MOYES
Title or Position: PRESIDENT
Credential: M.D.
Phone: 816-746-9800