| |
105 Pottawatomie St, Rossville, KS 66533-9780 | |
(785) 584-6200 | |
(785) 584-6200 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 105 Pottawatomie St, Rossville, Kansas |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386704906 | NPI | - | NPPES |
0599730002 | Other | KS | MEDICARE NSM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1065-3 (Kansas) | Primary |
Mailing Address | Practice Location Address |
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Po Box 235, Rossville, KS 66533-0235 Ph: (785) 584-6200 | 105 Pottawatomie St, Rossville, KS 66533-9780 Ph: (785) 584-6200 |