Provider Demographics
NPI:1518994631
Name:DYER, DAVID S (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:S
Last Name:DYER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:8600 QUIVIRA RD STE 100
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66215-2857
Mailing Address - Country:US
Mailing Address - Phone:913-831-7400
Mailing Address - Fax:913-831-7409
Practice Address - Street 1:8600 QUIVIRA RD STE 100
Practice Address - Street 2:
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66215-2857
Practice Address - Country:US
Practice Address - Phone:913-831-7400
Practice Address - Fax:913-831-7409
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2022-08-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO111975207W00000X, 207WX0107X
UT9713727-1205207W00000X, 207WX0107X
KS0426713207WX0107X
KS04-26713207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS180035810OtherRAILROAD MEDICARE
MO180035811OtherRAILROAD MEDICARE
MO204017503Medicaid
KS058858OtherBLUE CROSS BLUE SHIELD OF
MO23728031OtherBLUE CROSS BLUE SHIELD OF
KS100342190AMedicaid
KS100342190AMedicaid
MOMA3835004Medicare PIN
KS180035810OtherRAILROAD MEDICARE
E68975Medicare UPIN