Berwald, Lori D

Berwald, Lori D is an individual health care provider with primary practice located at 21020 W 151St St , Olathe KS 66061-7200. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Berwald, Lori D can be contacted via phone (913) 829-5511.

Contact Information

Primary practice address
21020 W 151St St Olathe KS 66061-7200
Phone: (913) 829-5511
Fax: (913) 829-5571
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1576 Kansas
Eye and Vision Services Providers / Optometrist 152W00000X 2000145672 Missouri

Profile Details

NPI number 1508831439
LBN Legal business name Berwald, Lori D
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Jun 11th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508831439 NPPES
Kansas Other P00167129 RAILROAD MEDICARE

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