Jeremy M. Durham in Wichita - Optometrist

Jeremy M. Durham - NPI 1750379368

Jeremy M. Durham is a Optometrist in Wichita, Kansas. Jeremy M. Durham practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Jeremy M. Durham is 1750379368. The last update date is 2011-08-11.

Jeremy M. Durham's current location address is 437 N Tyler Rd, Wichita, Kansas. You can contact this provider via phone number 3167221001 and fax number 3167221073. The mailing address for Jeremy M. Durham is 437 N Tyler Rd, Wichita, Kansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeremy M. Durham
Address 437 N Tyler Rd, Wichita, Kansas
Phone Number 3167221001
Fax Number 3167221073
Sole Proprietor N
Credentials O.D.

NPI Number Detail

NPI Number 1750379368
Provider Enumeration Date 2005-10-07
Last Updated Date 2011-08-11

Provider Mailing Address Detail

Address 437 N Tyler Rd
City Wichita
State Kansas (KS)
Post Code 672123630
Phone Number 3167221001
Fax Number 3167221073

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No 1651
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
200333580A KS --
650938 KS BLUE CROSS
803320001 KS DMERC

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FAQs about Jeremy M. Durham

What is the unique provider identifier assigned to Jeremy M. Durham?

The Jeremy M. Durham has been issued the NPI (National Provider Identifier) 1750379368 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete street address where Jeremy M. Durham is physically located?

The Jeremy M. Durham is physically situated at the following address: 437 N Tyler Rd, Wichita, KS, 672123630.

What is the Jeremy M. Durham's area of specialization and corresponding taxonomy classification?

The Jeremy M. Durham's specialty field is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services assign the 1750379368 to Jeremy M. Durham?

The Centers for Medicare & Medicaid Services assigned the 1750379368 to Jeremy M. Durham on 2005-10-07.

As of what date were the details related to Jeremy M. Durham most recently updated or revised?

The information pertaining to Jeremy M. Durham, including its address, specialty, and other relevant details, was last updated or revised on 2011-08-11.

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