Individual provider · Type 1 NPI
Mary T. Champion, MD
Retina Specialist (Ophthalmology) Physician · Prairie Village, KS
NPI number
1760779722
Active
Practice location
7400 State Line Rd Ste 100
Prairie Village, KS 66208-3447
Fax (913) 588-6655
Other practice locations
- 1750 E Glendale Ave, Phoenix, AZ 85020-5505 · (602) 242-4928
- 3101 Broadway Blvd, Kansas City, MO 64111-2659 · (816) 302-3700
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology Physician | 207W00000X | 50228 (AZ) |
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | 50228 (AZ) |
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | 2020013466 (MO) |
| Retina Specialist (Ophthalmology) Physician Primary | 207WX0107X | 0439896 (KS) |
| Ophthalmology Physician | 207W00000X | 1 (KS) |
Retina Specialist (Ophthalmology) Physician: An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
3 other providers at this address
About NPI 1760779722
Mary T. Champion, MD's National Provider Identifier is 1760779722, issued on Jun 28, 2011. The primary taxonomy on file is Retina Specialist (Ophthalmology) Physician (207WX0107X), and the practice location is in Prairie Village, KS. The record was last updated on Dec 11, 2025.