| |
1133 College Ave, Bldg D Ste 156, Manhattan, KS 66502-2770 | |
(785) 537-3937 | |
(785) 537-2914 |
Full Name | |
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Type | Facility |
Speciality | Ophthalmology |
Location | 1133 College Ave, Manhattan, Kansas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891059242 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1588 (Kansas) | Secondary |
207W00000X | Ophthalmology | 04-35632 (Kansas) | Primary |
Provider Name | Julie Marie Witt |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1922187178 PECOS PAC ID: 5799721486 Enrollment ID: I20050705000252 |
Provider Name | William D Witt |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1447299904 PECOS PAC ID: 4688823198 Enrollment ID: I20120927000081 |
Mailing Address | Practice Location Address |
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1133 College Ave, Bldg D Ste 156, Manhattan, KS 66502-2770 Ph: (785) 537-3937 | 1133 College Ave, Bldg D Ste 156, Manhattan, KS 66502-2770 Ph: (785) 537-3937 |