NPI 1679877377 · live from the CMS NPI Registry
Whitney T Coleman, O.D.
Optometrist in Overland Park, KS. National Provider Identifier 1679877377, active.
NPI record
| NPI | 1679877377 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 10120 W 119th St, Overland Park, KS 66213 |
| Practice phone | 913-339-9090 |
| Mailing address | 21913 W 95th Ter, Lenexa, KS 66220 |
| Enumerated | January 10, 2011 |
| Last updated | January 24, 2013 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist | 152W00000X | 2010030908 (MO) |
| Optometrist primary | 152W00000X | 1866 (KS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.