Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

State Line Eye Care Center, PC

Organization Ophthalmology Physician · NPI 1013142694

State Line Eye Care Center, PC is an Ophthalmology Physician in Kansas City, Missouri. Registered with an NPI since 2009.

In the registry since
2009
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

520 E 63rd St Brookside Eye Care Ctr
Kansas City, MO 64110-3330
Phone: (816) 333-8600
Fax: (816) 444-3304
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X

Record details

NPI number1013142694
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lilliam (Lily) Yohn — Office Manager · (816) 333-8600
Other names Brookside Eye Care Center; Brookside Eye Care Center
NPI enumeratedMay 26, 2009
Last updated in NPPESMay 18, 2022
Certification dateMay 18, 2022
Mailing address520 E 63rd St, Kansas City, MO 64110-3330

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