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General NPI Number Information
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NPI Number | 1316045867
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Entity Type | Organization
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Legal Business Name | SOMERS EYE CENTER INC
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 03/08/2012
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Provider Practice Location Address
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Address Line | 2790 CLAY EDWARDS DR SUITE 1240
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City | NORTH KANSAS CITY
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State | MO
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Zip | 64116-3276
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Country | US
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Telephone | 816-842-2015
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Fax | 816-221-3713
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Provider Business Mailing Address
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Address Line | 2790 CLAY EDWARDS DR SUITE 1240
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City | NORTH KANSAS CITY
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State | MO
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Zip | 64116-3276
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Country | US
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Telephone | 816-842-2015
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Fax | 816-221-3713
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. MICHELLE J MERRIMAN
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Credential |
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Telephone | 816-842-2015
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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