NPI 1508831439 · live from the CMS NPI Registry
Lori D Berwald, OD
Optometrist in Olathe, KS. National Provider Identifier 1508831439, active.
NPI record
| NPI | 1508831439 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 21020 W 151st St, Olathe, KS 66061 |
| Practice phone | 913-829-5511 |
| Mailing address | Po Box 219241, Kansas City, MO 64121 |
| Enumerated | February 22, 2006 |
| Last updated | June 11, 2012 |
| Sole proprietor | No |
| Other names | Lori Mcquigg |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | 1576 (KS) |
| Optometrist | 152W00000X | 2000145672 (MO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.