Mccaulley Optometric Pa in Great Bend - Optometrist

Mccaulley Optometric Pa - NPI 1043255243

Mccaulley Optometric Pa is a Optometrist in Great Bend, Kansas. Mccaulley Optometric Pa practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Mccaulley Optometric Pa is 1043255243. The last update date is 2008-06-23.

Mccaulley Optometric Pa's current location address is 2601 10th St, Great Bend, Kansas. You can contact this provider via phone number 6207922020 and fax number 6207922583. The mailing address for Mccaulley Optometric Pa is 2601 10th St, Great Bend, Kansas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Mccaulley Optometric Pa
Address 2601 10th St, Great Bend, Kansas
Phone Number 6207922020
Fax Number 6207922583
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Mccaulley L Russell
Credentials O.D.
Telephone Number 6207922020

NPI Number Detail

NPI Number 1043255243
Provider Enumeration Date 2006-06-19
Last Updated Date 2008-06-23

Provider Mailing Address Detail

Address 2601 10th St
City Great Bend
State Kansas (KS)
Post Code 675304253
Phone Number 6207922020
Fax Number 6207922583

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No 1692
Definition:
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
100213630A KS --
5344 KS BCBS GROUP NUMBER
20075001 KS CIGNA MC GROUP NUMBER

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FAQs about Mccaulley Optometric Pa

What is the unique 10-digit identification code assigned to Mccaulley Optometric Pa by the Centers for Medicare & Medicaid Services?

The Mccaulley Optometric Pa has been issued the NPI (National Provider Identifier) 1043255243, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Mccaulley Optometric Pa is geographically located?

The Mccaulley Optometric Pa is physically situated at the following location: 2601 10Th St, Great Bend, KS, 675304253.

What is Mccaulley Optometric Pa's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Mccaulley Optometric Pa's specialized field of practice is Optometrist, and the corresponding taxonomy code that categorizes this area of specialization is 152W00000X.

When was the Mccaulley Optometric Pa's 1043255243 issued?

The Mccaulley Optometric Pa's 1043255243 was issued on 2006-06-19.

As of what date were the Mccaulley Optometric Pa's details last updated?

The information pertaining to the Mccaulley Optometric Pa, including its address, specialty, and other details, was most recently updated on 2008-06-23.

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