Provider Demographics
NPI:1740291657
Name:REIFSCHNEIDER EYE CENTER, P.A.
Entity type:Organization
Organization Name:REIFSCHNEIDER EYE CENTER, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:MICHELE
Authorized Official - Last Name:BELFORD
Authorized Official - Suffix:
Authorized Official - Credentials:COA
Authorized Official - Phone:913-682-2900
Mailing Address - Street 1:1001 6TH AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LEAVENWORTH
Mailing Address - State:KS
Mailing Address - Zip Code:66048-3222
Mailing Address - Country:US
Mailing Address - Phone:913-682-2900
Mailing Address - Fax:913-682-8913
Practice Address - Street 1:1001 6TH AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:LEAVENWORTH
Practice Address - State:KS
Practice Address - Zip Code:66048-3222
Practice Address - Country:US
Practice Address - Phone:913-682-2900
Practice Address - Fax:913-682-8913
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-10
Last Update Date:2014-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS016811OtherBCBS KANSAS
KS200452500AMedicaid
KSCK3593OtherRAILROAD MEDICARE
KS016811Medicare PIN
KS016811OtherBCBS KANSAS