| Derby Eyecare Llc | |
|
1626 E Madison Ave, Derby, KS 67037-2076 | |
| (316) 640-4180 | |
| Not Available |
| Full Name | Derby Eyecare Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1626 E Madison Ave, Derby, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134500101 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1856 (Kansas) | Primary |
| Provider Name | Logan K Banister |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1154551828 PECOS PAC ID: 0840346987 Enrollment ID: I20090915000500 |
| Mailing Address | Practice Location Address |
|---|---|
| Derby Eyecare Llc 1626 E Madison Ave, Derby, KS 67037-2076 Ph: (316) 640-4180 | Derby Eyecare Llc 1626 E Madison Ave, Derby, KS 67037-2076 Ph: (316) 640-4180 |
Steven A Kuhl Od, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 1821 E Madison, Suite 1600, Derby, KS 67037 Phone: 316-789-8383 Fax: 316-789-0336 | |
Dr. Logan Kale Banister, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1626 E Madison Ave, Derby, KS 67037 Phone: 316-788-1535 Fax: 316-788-1596 | |
M.d. Gordon O.d., Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1221 N Rock Rd, Derby, KS 67037 Phone: 316-788-2020 Fax: 316-788-7451 | |
Michael D Gordon Od Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1221 N Rock Rd, Derby, KS 67037 Phone: 316-788-2020 Fax: 316-788-7451 | |
Dr. Ryan Michael Mcnett, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2020 N Nelson Dr, Suite A, Derby, KS 67037 Phone: 316-788-1180 Fax: 316-788-7426 | |
Dr. Laura A Branstetter, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1105 N Buckner St, Derby, KS 67037 Phone: 316-788-9290 Fax: 316-788-6157 |