| G Derril Gwinner Od Llc | |
|
801 E 3rd St, Ellsworth, KS 67439-4224 | |
| (785) 472-3272 | |
| (785) 472-3360 |
| Full Name | G Derril Gwinner Od Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 801 E 3rd St, Ellsworth, Kansas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144495490 | NPI | - | NPPES |
| 100090550A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 9613 (Kansas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| G Derril Gwinner Od Llc Po Box 339, Ellsworth, KS 67439-0339 Ph: (785) 472-3272 | G Derril Gwinner Od Llc 801 E 3rd St, Ellsworth, KS 67439-4224 Ph: (785) 472-3272 |
Dr. Grant Derril Gwinner, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 801 E 3rd St, Ellsworth, KS 67439 Phone: 785-472-3272 Fax: 785-472-3360 | |
Dr. Grant K Gwinner, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 801 E 3rd St, Suite A, Ellsworth, KS 67439 Phone: 785-472-3272 Fax: 785-472-3360 | |
Kyle Gwinner Od Llc Optometrist Medicare: Medicare Enrolled Practice Location: 801 E 3rd St, Ellsworth, KS 67439 Phone: 785-472-3272 Fax: 785-472-3360 |