Provider Demographics
NPI:1447235213
Name:BESLER, L G (OD)
Entity Type:Individual
Prefix:
First Name:L
Middle Name:G
Last Name:BESLER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:GREGROY
Other - Middle Name:
Other - Last Name:BESLER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OD
Mailing Address - Street 1:5703 W 95TH ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66207-2919
Mailing Address - Country:US
Mailing Address - Phone:913-341-4508
Mailing Address - Fax:913-341-4570
Practice Address - Street 1:5703 W 95TH ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66207-2919
Practice Address - Country:US
Practice Address - Phone:913-341-4508
Practice Address - Fax:913-341-4570
Is Sole Proprietor?:No
Enumeration Date:2005-12-14
Last Update Date:2011-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1233-2152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100219100AMedicaid
KS4847200Medicare PIN
KS410007181Medicare UPIN
KSU09617Medicare UPIN
KS0398400001Medicare NSC