Eudaly, Lon S

Eudaly, Lon S is an individual health care provider with primary practice located at 11500 Granada St Discover Vision Centers, Leawood KS 66211-1453. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Eudaly, Lon S can be contacted via phone (816) 478-1230.

Contact Information

Primary practice address
11500 Granada St Discover Vision Centers Leawood KS 66211-1453
Phone: (816) 478-1230
Fax: (816) 350-6980
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X T02523 Missouri
Eye and Vision Services Providers / Optometrist 152W00000X 11823 Kansas

Profile Details

NPI number 1427041797
LBN Legal business name Eudaly, Lon S
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2005
Last updated Dec 20th, 2011 - about 15 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 1427041797 NPPES
Other 410030654 RAILROAD MEDICARE
Other P00685108 RAILROAD MEDICARE

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