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Organization
KATER OPTOMETRIC SERVICES LLC
Active
Organization
KATER OPTOMETRIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMY BODEN (OFFICE MANAGER)
(316) 832-0026
Entity
Organization
Contact information
Practice address
1211 W MAPLE, SUITE 125, WICHITA, KS 67235-8756
(316) 832-0026
(316) 832-0029
Mailing address
12111 W MAPLE ST, SUITE 125, WICHITA, KS 67235-8755
(316) 832-0026
(316) 832-0029
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
1239-2
KS
152WL0500X
Low Vision Rehabilitation Optometrist
Primary
1239-2
KS
152WP0200X
Pediatric Optometrist
1239-2
KS
152WS0006X
Sports Vision Optometrist
1239-2
KS
152WV0400X
Vision Therapy Optometrist
1239-2
KS
152WX0102X
Occupational Vision Optometrist
1239-2
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
651176
BCBS LEGACY NUMBER
KS
Enumeration date
09/06/2007
Last updated
09/09/2010
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