Organization · Type 2 NPI

State Line Eye Care Center, PC

Eyewear Supplier · Kansas City, MO

NPI number 1174655955 Active

Practice location

7701 State Line Rd
Kansas City, MO 64114-1635

Fax (816) 444-3341

Specialties and licenses

Taxonomy	Code	License
Eyewear Supplier Primary	332H00000X	None listed

Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

2 other providers at this address

State Line Eye Care Center, PCOphthalmology Physician Kansas City, MO NPI 1215978622
Alan E. Bauman, MDOphthalmology Physician Kansas City, MO NPI 1629018247

Other eyewear supplier providers in Kansas City

See all in Kansas City →

NPI record

NPI: 1174655955
Entity type: Organization (Type 2)
Issued: Mar 9, 2007
Last updated: Aug 1, 2008
Status: Active
Subpart: Yes of State Line Eye Care Center, PC

Other names

<unavail>
State Line Eye Care Center Optical · doing business as

Authorized official

Mr. Roland Sabates, MD
President
(816) 444-2900

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1174655955

State Line Eye Care Center, PC's National Provider Identifier is 1174655955, issued on Mar 9, 2007. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Kansas City, MO. The record was last updated on Aug 1, 2008.