Provider Demographics
NPI:1083963953
Name:ERIN LATTER OD LLC
Entity Type:Organization
Organization Name:ERIN LATTER OD LLC
Other - Org Name:LATTER EYECARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:
Authorized Official - Last Name:LATTER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:913-787-0196
Mailing Address - Street 1:13700 GILLETTE ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66221-4137
Mailing Address - Country:US
Mailing Address - Phone:913-787-0196
Mailing Address - Fax:
Practice Address - Street 1:15700 SHAWNEE MISSION PKWY
Practice Address - Street 2:
Practice Address - City:SHAWNEE
Practice Address - State:KS
Practice Address - Zip Code:66217-9321
Practice Address - Country:US
Practice Address - Phone:913-787-0196
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-06
Last Update Date:2012-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1872152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty