Henry Lee Bumgardner in Wichita - Optometrist

Henry Lee Bumgardner - NPI 1114039583

Henry Lee Bumgardner is a Optometrist in Wichita, Kansas. Henry Lee Bumgardner practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Henry Lee Bumgardner is 1114039583. The last update date is 2008-10-12.

Henry Lee Bumgardner's current location address is 2205 S Seneca St, Wichita, Kansas. You can contact this provider via phone number 3162649131 and fax number 3162644649. The mailing address for Henry Lee Bumgardner is 2205 S Seneca St, Wichita, Kansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Henry Lee Bumgardner
Address 2205 S Seneca St, Wichita, Kansas
Phone Number 3162649131
Fax Number 3162644649
Sole Proprietor Y
Credentials O.D.

NPI Number Detail

NPI Number 1114039583
Provider Enumeration Date 2006-08-31
Last Updated Date 2008-10-12

Provider Mailing Address Detail

Address 2205 S Seneca St
City Wichita
State Kansas (KS)
Post Code 672134224
Phone Number 3162649131
Fax Number 3162644649

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No 997-3
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
3239530 KS CIGNA
480801828 KS FEDERAL IDENTIFICATION #
130 KS PREFERRED PLUS KANSAS
333128 KS COVENTRY
997-3 KS KANSAS OPTOMETRY LICENSE
5262 KS BLUE CROSS BLUE SHIELD

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FAQs about Henry Lee Bumgardner

What is the unique 10-digit identification code assigned to Henry Lee Bumgardner by the Centers for Medicare & Medicaid Services?

The Henry Lee Bumgardner has been issued the NPI (National Provider Identifier) 1114039583, 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 Henry Lee Bumgardner is geographically located?

The Henry Lee Bumgardner is physically situated at the following location: 2205 S Seneca St, Wichita, KS, 672134224.

What is the Henry Lee Bumgardner's specialty and taxonomy code?

The Henry Lee Bumgardner's specialty is Optometrist, and the corresponding taxonomy code is 152W00000X.

When did the Henry Lee Bumgardner receive its 1114039583?

The Henry Lee Bumgardner was issued its 1114039583 on 2006-08-31, which is the date when the organization was assigned this unique identifier.

When was the information related to Henry Lee Bumgardner most recently updated or refreshed?

The details pertaining to the Henry Lee Bumgardner, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-10-12.

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