Provider Demographics
NPI:1174784326
Name:EYLAR, ANNE MARIE (OD)
Entity type:Individual
Prefix:DR
First Name:ANNE
Middle Name:MARIE
Last Name:EYLAR
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 13293
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66282-3293
Mailing Address - Country:US
Mailing Address - Phone:913-906-6570
Mailing Address - Fax:913-906-6551
Practice Address - Street 1:7950 COLLEGE BLVD
Practice Address - Street 2:STE B
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66210-1869
Practice Address - Country:US
Practice Address - Phone:913-338-4733
Practice Address - Fax:913-906-6551
Is Sole Proprietor?:No
Enumeration Date:2008-06-20
Last Update Date:2020-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOPT002462152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCD15188Medicaid
GAAA32027127Medicare PIN