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NPI Code Detail

MEDICARE: DR. CYNTHIA MAN-SHAN YIN O.D.

MEDICARE:  DR. CYNTHIA MAN-SHAN YIN  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
1152W00000XOptometristTO2537MO
2152W00000XOptometrist1203-3KS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
125419043OTHERKSBLUECROSS AND BLUESHIELD

General Provider Information

NPI Number : 1740247915
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CYNTHIA MAN-SHAN YIN O.D.
Provider Business Mailing Address
First Line : 9726 CHADWICK DR
Second Line :
City : OVERLAND PARK
State : KS
Zip : 66206-2112
Country : US
Telephone Number : 913-642-1769
Fax Number :
Provider Business Practice Location Address
First Line : 9726 CHADWICK DR
Second Line :
City : OVERLAND PARK
State : KS
Zip : 66206-2112
Country : US
Telephone Number : 913-642-1769
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/28/2006
Last Update Date : 03/13/2020

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Directions to “ DR. CYNTHIA MAN-SHAN YIN O.D.” Practice Location

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