| |
800 N 4th St, Ste 102, Burlington, KS 66839-2617 | |
(636) 200-4393 | |
(620) 364-5477 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 800 N 4th St, Burlington, Kansas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629406731 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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Po Box 207293, Dallas, TX 75320-7293 Ph: (636) 200-4393 | 800 N 4th St, Ste 102, Burlington, KS 66839-2617 Ph: (636) 200-4393 |
Bryan G Pauls, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 800 N 4th St Ste 102, Burlington, KS 66839 Phone: 620-364-2134 Fax: 620-364-5477 |