Fairway Eye Center in Leawood Inc.
Organization Active NPI Optometrist · Leawood, KS
NPI 1831603307 · NPPES record last updated Aug 4, 2022
Key facts
- NPI
- 1831603307
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- FAIRWAY EYE CENTER IN LEAWOOD INC.
- Practice address
- 11707 Roe Ave Ste a
Leawood, KS 66211-2601 - Phone
- (913) 491-9123
- Fax
- (913) 491-6608
- NPI assigned
- Nov 20, 2017
- Organization subpart
- No
Authorized official
- Name
- Dr. Mark Bunde, OD
- Title
- Optometrist
- Phone
- (913) 491-9123
Practitioners 1
-
Jessica Price, O.D.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes | ||
| Corneal and Contact Management Optometrist |
152WC0802X | |||
| Pediatric Optometrist |
152WP0200X | |||
| Sports Vision Optometrist |
152WS0006X | |||
| Vision Therapy Optometrist |
152WV0400X | |||
| Occupational Vision Optometrist |
152WX0102X | |||
| Technician/Technologist |
156F00000X | |||
| Contact Lens Technician/Technologist |
156FC0800X | |||
| Optometric Technician |
156FX1202X |
Addresses
Primary practice location
11707 Roe Ave Ste a
Leawood, KS 66211-2601
Mailing address
11707 Roe Ave Ste a
Leawood, KS 66211-2601
Phone (913) 491-9123
Other providers in Leawood, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.