Provider Demographics
NPI:1235137308
Name:BIRCHER, DAWN T (OD)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:T
Last Name:BIRCHER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:DAWN
Other - Middle Name:T
Other - Last Name:BUTLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:7504 ANTIOCH RD
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66204-2622
Mailing Address - Country:US
Mailing Address - Phone:913-341-3100
Mailing Address - Fax:913-341-6818
Practice Address - Street 1:7504 ANTIOCH RD
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66204-2622
Practice Address - Country:US
Practice Address - Phone:913-341-3100
Practice Address - Fax:913-341-6818
Is Sole Proprietor?:No
Enumeration Date:2005-07-12
Last Update Date:2015-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2004018121152W00000X
KS1677152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOP00163963Medicare PIN
V01181Medicare UPIN
KS405D296EMedicare PIN
MO405D296HMedicare PIN
MO405D296AMedicare PIN
KS225000004Medicare PIN