Brill, Raymond J
Brill, Raymond J is an individual health care provider with primary practice located at 5820 Lamar Ave Ste 100 , Mission KS 66202-2647. He recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Brill, Raymond J can be contacted via phone (913) 432-7676.Contact Information
Primary practice address
5820 Lamar Ave Ste 100
Mission KS 66202-2647
Phone: (913) 432-7676
Fax: (913) 432-7717
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 1132-3 | Kansas |
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | 1132-3 | Kansas |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1132-3 | Kansas |
Profile Details
| NPI number | 1871617787 |
|---|---|
| LBN Legal business name | Brill, Raymond J |
| Credentials | OD, FAAO, FOAA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 17th, 2007 |
| Last updated | May 11th, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871617787 | NPPES |
| Kansas | MEDICAID | 100219700B |
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