NPI 1457486375 · live from the CMS NPI Registry
Burlingame & Mock Vision Associates, INC
Optometrist in Overland Park, KS. National Provider Identifier 1457486375, active.
NPI record
| NPI | 1457486375 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 11500 W. 119th Street, Overland Park, KS 66213 |
| Practice phone | 913-451-0001 |
| Enumerated | February 22, 2007 |
| Last updated | August 12, 2009 |
| Authorized official | Buffie Mock, Doctor |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist | 152W00000X | 1577 (KS) |
| Optometrist | 152W00000X | 1259-2 (KS) |
| Optometrist primary | 152W00000X | 1275 (KS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.