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NPI Code Detail

MEDICARE: MARINA RIOS OD

MEDICARE: MARINA RIOS OD
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
1152W00000XOptometrist2025020049MO

General Provider Information

NPI Number : 1184507121
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARINA RIOS OD
Provider Business Mailing Address
First Line : 5151 NW 88TH ST
Second Line :
City : KANSAS CITY
State : MO
Zip : 64154-2700
Country : US
Telephone Number : 816-746-9800
Fax Number : 816-587-3555
Provider Business Practice Location Address
First Line : 5151 NW 88TH ST
Second Line :
City : KANSAS CITY
State : MO
Zip : 64154-2700
Country : US
Telephone Number : 816-746-9800
Fax Number : 816-587-3555
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2025
Last Update Date : 02/10/2026

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Directions to “ MARINA RIOS OD” Practice Location

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