| Stacy K Fitch Od Pa | |
|
2144 Sw 36th St Topeka KS 66611-2554 | |
| (785) 266-6763 | |
| (785) 266-6720 |
| Full Name | Stacy K Fitch Od Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 2144 Sw 36th St, Topeka, Kansas |
| Authorized Official Name and Position | Stacy K Fitch (OPTOMETRIST) |
| Authorized Official Contact | 7852666763 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stacy K Fitch Od Pa 2144 Sw 36th St Topeka KS 66611-2554 Ph: (785) 266-6763 | Stacy K Fitch Od Pa 2144 Sw 36th St Topeka KS 66611-2554 Ph: (785) 266-6763 |
| NPI Number | 1346422029 |
|---|---|
| Provider Enumeration Date | 12/04/2007 |
| Last Update Date | 02/19/2008 |
| Medicare PECOS PAC ID | 6507985710 |
|---|---|
| Medicare Enrollment ID | O20120106000620 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346422029 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 1301-3 (Kansas) | Primary |
| Provider Name | Stacy K Fitch |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821058041 PECOS PAC ID: 0749222883 Enrollment ID: I20050527000741 |
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