Richard A Reeves And Larry D Stoppel Od Pa | |
318 C St, Washington, KS 66968-1909 | |
(785) 325-2289 | |
(785) 325-3435 |
Full Name | Richard A Reeves And Larry D Stoppel Od Pa |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 318 C St, Washington, Kansas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417906074 | NPI | - | NPPES |
100090190A | Medicaid | KS | |
100217960A | Medicaid | KS | |
200576690A | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1110-3 (Kansas) | Primary |
Provider Name | Richard A Reeves |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1295701183 PECOS PAC ID: 3072569292 Enrollment ID: I20050330000576 |
Provider Name | Larry D Stoppel |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1205807880 PECOS PAC ID: 8527014745 Enrollment ID: I20050330000584 |
Provider Name | Tony Brown |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1457701880 PECOS PAC ID: 2668763392 Enrollment ID: I20160627002492 |
Mailing Address | Practice Location Address |
---|---|
Richard A Reeves And Larry D Stoppel Od Pa 318 C St, Washington, KS 66968-1909 Ph: (785) 325-2289 | Richard A Reeves And Larry D Stoppel Od Pa 318 C St, Washington, KS 66968-1909 Ph: (785) 325-2289 |
Dr. Larry Dale Stoppel, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 318 C St, Washington, KS 66968 Phone: 785-325-2289 Fax: 785-325-3435 |