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2521 N Broadway St, Pittsburg, KS 66762-2620 | |
| (620) 235-1737 | |
| (620) 230-0358 |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 2521 N Broadway St, Pittsburg, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629209051 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1699 (Kansas) | Primary |
| Provider Name | Shane R Kannarr |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1891772489 PECOS PAC ID: 5496701336 Enrollment ID: I20060215000804 |
| Provider Name | Christopher J Jacquinot |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003016361 PECOS PAC ID: 9032206040 Enrollment ID: I20071107000252 |
| Provider Name | Katherine A Painter |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316145154 PECOS PAC ID: 7012053747 Enrollment ID: I20091009000056 |
| Provider Name | Emily G Marsh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881761377 PECOS PAC ID: 6901816180 Enrollment ID: I20211112000984 |
| Provider Name | Taylor Renz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1497373088 PECOS PAC ID: 2769806561 Enrollment ID: I20230809001824 |
| Provider Name | Ethan M Powell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1811757289 PECOS PAC ID: 9931647625 Enrollment ID: I20240813001539 |
| Mailing Address | Practice Location Address |
|---|---|
101 W 29th St Ste G, Pittsburg, KS 66762-2664 Ph: (620) 235-1737 | 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 |