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NPI 1245366939 · live from the CMS NPI Registry

Blue Valley Eyecare, LLC

Optometrist in Overland Park, KS. National Provider Identifier 1245366939, active.

NPI record

NPI1245366939 Type 2 · organization
StatusActive
Primary specialtyOptometrist 152W00000X
Practice location12621 Antioch Rd, Overland Park, KS 66213
Practice phone913-814-7707
EnumeratedFebruary 26, 2007
Last updatedMay 21, 2023
Authorized officialHeidi Reiling, Owner
Other namesBlue Valley Eyecare

Taxonomies and licenses

TaxonomyCodeLicense
Optometrist primary152W00000XKS 1469-3 (KS)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.