Brewer, Melissa R

Brewer, Melissa R is an individual health care provider with primary practice located at 12621 Antioch Rd , Overland Park KS 66213-1701. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Brewer, Melissa R can be contacted via phone (913) 814-7707.

Contact Information

Primary practice address
12621 Antioch Rd Overland Park KS 66213-1701
Fax: (913) 814-7997
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1678 Kansas

Profile Details

NPI number 1902881782
LBN Legal business name Brewer, Melissa R
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2005
Last updated Mar 18th, 2010 - about 14 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 1902881782 NPPES
Missouri Other 35448021 KANSAS CITY BLUE CROSS
Missouri MEDICAID 200331480A KANSAS CITY BLUE CROSS

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