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STATE LINE EYE CARE CENTER PC NPI 1770615601


NPI Information

NPI: 1770615601
Provider Name: STATE LINE EYE CARE CENTER, PC

Doing Business As: CASS COUNTY EYE CARE CENTER OPTICAL

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
424 E NORTH AVE
BELTON, MO
ZIP 64012
Phone: (816) 322-6100
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STATE LINE EYE CARE CENTER, PC is an eyewear supplier in Belton, MO. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. STATE LINE EYE CARE CENTER, PC NPI is 1770615601. The provider is registered as an organization entity type.
The provider Is Doing Business As Cass County Eye Care Center Optical.

The provider's business location address is:

424 E NORTH AVE
BELTON, MO
ZIP 64012-017
Phone: (816) 322-6100

The provider's authorized official is Roland Sabates .
The authorized official title is President and has the following contact phone number (816) 444-2900.

The enumeration date for this NPI number is 3/9/2007 and was last updated on 8/1/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332H00000XEyewear SupplierYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10550500001MEDICARE NSCMISSOURI
219517041OTHERMISSOURIBCBS
3328147707MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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