Mancillas, Max Steven
Mancillas, Max Steven is an sole proprietor health care provider with primary practice located at 11548 W 135Th St , Overland Park KS 66221-2892. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mancillas, Max Steven can be contacted via phone (913) 814-7600.Contact Information
Primary practice address
11548 W 135Th St
Overland Park KS 66221-2892
Phone: (913) 814-7600
Fax: (913) 814-3906
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1225-3 | Kansas |
Profile Details
| NPI number | 1609827971 |
|---|---|
| LBN Legal business name | Mancillas, Max Steven |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 12th, 2006 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1609827971 | NPPES |
| Kansas | Other | 1225-3 | STATE LICENSE NUMBER |
| Kansas | Other | T2655 | STATE LICENSE NUMBER |
Popular Providers
-
Burlingame, Jay Jeffrey
11500 W 119Th St , Overland Park KS 66213-2002 -
Brewer, Melissa R
12621 Antioch Rd , Overland Park KS 66213-1701 -
Amos, David M
7504 Antioch Rd , Overland Park KS 66204-2622 -
Shrack, Christine
5520 College Blvd Ste 201, Overland Park KS 66211-1658 -
Burlingame, Cynthia Lynn
11500 W 119Th St , Overland Park KS 66213-2002 -
Hawks, Terry Foster
5703 W 95Th St , Overland Park KS 66207-2919 -
Mock, Buffie Jane
11500 W 119Th St , Overland Park KS 66213-2002 -
Besler, L G
5703 W 95Th St , Overland Park KS 66207-2919