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Organization
WESTERN KANSAS LOW VISION ASSOCIATES PA
Active
Organization
WESTERN KANSAS LOW VISION ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA M GUERRERO (BUSINESS OFFICE SUPERVISOR)
(620) 275-4938
Entity
Organization
Contact information
Practice address
310 E WALNUT ST, GARDEN CITY, KS 67846-5560
(620) 275-4938
(620) 275-5262
Mailing address
PO BOX 2671, GARDEN CITY, KS 67846-8671
(620) 275-4938
(620) 275-5262
Taxonomy
Speciality
Code
Description
License number
State
152WL0500X
Low Vision Rehabilitation Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100398420A
—
KS
Enumeration date
07/25/2006
Last updated
03/12/2015
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