| |
722 Mann Ave, Larned, KS 67550-2909 | |
(620) 285-2105 | |
(620) 285-7236 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 722 Mann Ave, Larned, Kansas |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710098892 | NPI | - | NPPES |
100281500D | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1472-3 (Kansas) | Primary |
Mailing Address | Practice Location Address |
---|---|
722 Mann Ave, Larned, KS 67550-2909 Ph: (620) 285-2105 | 722 Mann Ave, Larned, KS 67550-2909 Ph: (620) 285-2105 |
Dr. Douglas Duane Ayre, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 722 Mann Ave, Larned, KS 67550 Phone: 620-285-2105 Fax: 620-285-7236 |