| Dr Jeremy Russell Gardner, OD | |
|
746 N Maize Rd Ste 100, Wichita, KS 67212-4571 | |
| (316) 665-7647 | |
| Not Available |
| Full Name | Dr Jeremy Russell Gardner |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 746 N Maize Rd Ste 100, Wichita, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710503412 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPT-002433 (Arizona) | Secondary |
| 152W00000X | Optometrist | 2117 (Kansas) | Primary |
| Provider Name | Child & Family Eyecare Center Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1568004588 PECOS PAC ID: 2466882170 Enrollment ID: O20200421001525 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jeremy Russell Gardner, OD 754 N Toh N Hah Trl, Wichita, KS 67212-4536 Ph: (480) 729-2150 | Dr Jeremy Russell Gardner, OD 746 N Maize Rd Ste 100, Wichita, KS 67212-4571 Ph: (316) 665-7647 |
Philip Beggs, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2357 N Maize Rd Ste 103, Wichita, KS 67205 Phone: 316-558-8151 Fax: 316-558-8044 | |
William L Park, Od, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 610 N Main St, Suite 201, Wichita, KS 67203 Phone: 316-440-1690 Fax: 316-440-1695 | |
Dr. Nicklaus James Richmond, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1202 W Maple St, Wichita, KS 67213 Phone: 316-262-3716 Fax: 316-262-0784 | |
Bruce Boyle Od Inc Optometrist Medicare: Medicare Enrolled Practice Location: 2757 S Seneca St, Wichita, KS 67217 Phone: 316-260-6280 Fax: 316-665-6806 | |
Suzanne Buchanan, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3607 N Ridge Rd, Wichita, KS 67205 Phone: 316-721-2701 Fax: 316-721-8612 | |
Dr. Eric Paul Kitchen, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6127 E. Central, Wichita, KS 67208 Phone: 316-685-0630 Fax: 316-685-1580 | |
Dr. Jim L Kuhlmann, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 8150 E Douglas Ave, #50, Wichita, KS 67206 Phone: 316-681-0991 Fax: 316-681-9931 |