Freeman Eyecare, P.a. | |
803 Main St Winfield KS 67156-2834 | |
(620) 221-2020 | |
(620) 221-7544 |
Full Name | Freeman Eyecare, P.a. |
---|---|
Speciality | Clinic/Center |
Location | 803 Main St, Winfield, Kansas |
Authorized Official Name and Position | Dan E. Freeman (PRESIDENT) |
Authorized Official Contact | 6202212020 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Freeman Eyecare, P.a. 803 Main St Winfield KS 67156-2834 Ph: (620) 221-2020 | Freeman Eyecare, P.a. 803 Main St Winfield KS 67156-2834 Ph: (620) 221-2020 |
NPI Number | 1578713061 |
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Provider Enumeration Date | 09/22/2008 |
Last Update Date | 05/16/2011 |
Medicare PECOS PAC ID | 2163581471 |
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Medicare Enrollment ID | O20081031000204 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578713061 | NPI | - | NPPES |
100090910B | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 1032-2 (Kansas) | Primary |
Provider Name | Dan E Freeman |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1104893007 PECOS PAC ID: 9830132380 Enrollment ID: I20050606000629 |
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