LORI D BERWALD OD

MILTON B GRIN MD PA

Dr LORI D BERWALD OD is a female medical professional, specializing in Optometry. She graduated in 1995 from Southern College Of Optometry.

Contact

MILTON B GRIN MD PA

21020 W 151ST ST
GRIN EYE CARE
OLATHE
KS
660617200

Tel: 9138295511

LORI D BERWALD OD Information

Npi 1508831439
Pac Id 7911807888
Professional Enrollment Id I20040109000070
Last Name BERWALD
First Name LORI
Middle Name D
Suffix
Gender F
Credential OD
Medical School Name SOUTHERN COLLEGE OF OPTOMETRY
Graduation Year 1995
Primary Specialty OPTOMETRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name MILTON B GRIN MD PA
Group Practice Pac Id 3870493752
Number Of Group Practice Members 11
Line 1 Street Address 21020 W 151ST ST
Line 2 Street Address GRIN EYE CARE
Marker Of Address Line 2 Suppression
City OLATHE
State KS
Zip Code 660617200
Phone Number 9138295511
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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