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General NPI Number Information
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NPI Number | 1184947129
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Entity Type | Organization
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Legal Business Name | LOUIS C MANUEL, M.D. EYE SERVICES, INC.
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Dates
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Enumeration Date | 03/04/2010
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Last Update Date | 03/04/2010
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Provider Practice Location Address
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Address Line | 1734 E 63RD ST STE 501
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City | KANSAS CITY
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State | MO
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Zip | 64110-3543
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Country | US
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Telephone | 816-363-4700
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Fax | 816-363-3817
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Provider Business Mailing Address
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Address Line | 1734 E 63RD ST STE 501
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City | KANSAS CITY
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State | MO
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Zip | 64110-3543
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Country | US
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Telephone | 816-363-4700
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Fax | 816-363-3817
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Authorized Official
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Title or Position | OWNER
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Name | LOUIS C MANUEL
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Credential | M.D.
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Telephone | 816-363-4700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | R3701
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License Number State | MO
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