Dr Ethan Powell, OD | |
2521 N Broadway St, Pittsburg, KS 66762-2620 | |
(620) 235-1737 | |
Not Available |
Full Name | Dr Ethan Powell |
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Gender | Male |
Speciality | Optometrist |
Location | 2521 N Broadway St, Pittsburg, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811757289 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | 2024010681 (Missouri) | Primary |
Provider Name | Kannarr Eye Care Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1629209051 PECOS PAC ID: 4688720790 Enrollment ID: O20090915000293 |
Mailing Address | Practice Location Address |
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Dr Ethan Powell, OD 2521 N Broadway St, Pittsburg, KS 66762-2620 Ph: () - | Dr Ethan Powell, OD 2521 N Broadway St, Pittsburg, KS 66762-2620 Ph: (620) 235-1737 |
Mr. Christopher J Jacquinot, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2521 N Broadway St, Pittsburg, KS 66762 Phone: 620-235-1737 Fax: 620-230-0358 | |
Dr. Dustin James Brooks, Optometrist Medicare: May Accept Medicare Assignments Practice Location: 2305 S Tucker St, Pittsburg, KS 66762 Phone: 620-232-2020 | |
Heartland Vision Center Pa Optometrist Medicare: Medicare Enrolled Practice Location: 2305 S Tucker St, Pittsburg, KS 66762 Phone: 620-232-2020 | |
Dr. Paul J Niegsch, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 101 N Broadway St, Ste #a, Pittsburg, KS 66762 Phone: 620-232-3277 Fax: 620-231-6680 | |
Paul Niegsch Od Llc Optometrist Medicare: Medicare Enrolled Practice Location: 101 N Broadway St Ste A, Pittsburg, KS 66762 Phone: 620-232-3277 | |
Dr. Thomas C. Brooks, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 2305 S Tucker St, Pittsburg, KS 66762 Phone: 620-232-2020 | |