MEDICARE: DR. JEFFREY DONALD LAFERLA O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152WC0802X	Corneal and Contact Management Optometrist	TO2830	MO

General Provider Information

NPI Number	:	1093823924
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFFREY DONALD LAFERLA O.D.

Provider Business Mailing Address
First Line	:	8301 N CONGRESS AVE
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64152-2041
Country	:	US
Telephone Number	:	816-741-6737
Fax Number	:	816-746-5850

Provider Business Practice Location Address
First Line	:	8301 N CONGRESS AVE
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64152-2041
Country	:	US
Telephone Number	:	816-741-6737
Fax Number	:	816-746-5850

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/29/2006
Last Update Date	:	07/08/2007

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