Provider Demographics
NPI:1609072586
Name:EYLAR, NEAL LANDON (OD)
Entity Type:Individual
Prefix:DR
First Name:NEAL
Middle Name:LANDON
Last Name:EYLAR
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11500 W 119TH ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66213-2002
Mailing Address - Country:US
Mailing Address - Phone:913-451-0001
Mailing Address - Fax:913-451-1659
Practice Address - Street 1:11500 W 119TH ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66213-2002
Practice Address - Country:US
Practice Address - Phone:913-451-0001
Practice Address - Fax:913-451-1659
Is Sole Proprietor?:No
Enumeration Date:2007-06-26
Last Update Date:2012-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOPT002382152W00000X
KS1768152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA855491698AMedicaid
GA5676280001Medicare NSC