Provider Demographics
NPI:1750696209
Name:ROWE, CHRISTINE EILEEN (OD)
Entity type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:EILEEN
Last Name:ROWE
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:15700 METCALF AVE
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66223-3004
Mailing Address - Country:US
Mailing Address - Phone:913-831-8003
Mailing Address - Fax:913-258-8665
Practice Address - Street 1:15700 METCALF AVE
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66223-3004
Practice Address - Country:US
Practice Address - Phone:913-831-8003
Practice Address - Fax:913-258-8665
Is Sole Proprietor?:No
Enumeration Date:2010-08-09
Last Update Date:2017-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4816152W00000X
KS1878152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist