Katilyn C Broberg, OD | |
2635 W Douglas Ave, Wichita, KS 67213-2605 | |
(316) 942-7496 | |
Not Available |
Full Name | Katilyn C Broberg |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 2635 W Douglas Ave, 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 |
---|---|---|---|
1801522875 | NPI | - | NPPES |
48-1046124 | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2168 (Kansas) | Primary |
Provider Name | Wichita Optometry, P.a. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1083676936 PECOS PAC ID: 2567541451 Enrollment ID: O20080502000609 |
Mailing Address | Practice Location Address |
---|---|
Katilyn C Broberg, OD 1652 S Butternut St, Wichita, KS 67230-7633 Ph: (316) 305-2750 | Katilyn C Broberg, OD 2635 W Douglas Ave, Wichita, KS 67213-2605 Ph: (316) 942-7496 |
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 |