Keith A. Mallatt Od in Pittsburg - Eyewear Supplier
Keith A. Mallatt Od - NPI 1831379163
Keith A. Mallatt Od is a Eyewear Supplier in Pittsburg, Kansas. Keith A. Mallatt Od practices all healthcare services and medical treatments related to Eyewear Supplier. The NPI Number for Keith A. Mallatt Od is 1831379163. The last update date is 2010-04-20.
Keith A. Mallatt Od's current location address is 301 N Broadway St, Pittsburg, Kansas. You can contact this provider via phone number 6202311720 and fax number 6202311727. The mailing address for Keith A. Mallatt Od is 301 N Broadway St, Pittsburg, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Keith A. Mallatt Od |
|---|---|
| Address | 301 N Broadway St, Pittsburg, Kansas |
| Phone Number | 6202311720 |
| Fax Number | 6202311727 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Mallatt Allen Keith |
| Credentials | O.D. |
| Telephone Number | 6202311720 |
NPI Number Detail
| NPI Number | 1831379163 |
|---|---|
| Provider Enumeration Date | 2007-11-03 |
| Last Updated Date | 2010-04-20 |
Provider Mailing Address Detail
| Address | 301 N Broadway St |
|---|---|
| City | Pittsburg |
| State | Kansas (KS) |
| Post Code | 667624806 |
| Phone Number | 6202311720 |
| Fax Number | 6202311727 |
Provider's Primary Taxonomy Detail
| Speciality | Eyewear Supplier |
|---|---|
| Taxonomy | 332H00000X |
| Licence No | KS 1173-2 |
|
Definition: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
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What is the unique identifier code issued to Keith A. Mallatt Od by the Centers for Medicare & Medicaid Services (CMS)?
The Keith A. Mallatt Od has been assigned the NPI (National Provider Identifier) 1831379163. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Keith A. Mallatt Od located?
The Keith A. Mallatt Od is located at 301 N Broadway St, Pittsburg, KS 667624806.
What is Keith A. Mallatt Od's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Keith A. Mallatt Od is Eyewear Supplier, and the taxonomy code that categorizes this field of expertise is 332H00000X.
When did Keith A. Mallatt Od receive its 1831379163 assignment?
The Keith A. Mallatt Od was assigned its 1831379163 on 2007-11-03, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Keith A. Mallatt Od most recently updated or revised?
The details related to Keith A. Mallatt Od, including its address, specialty, and other relevant information, were last updated or revised on 2010-04-20.
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