Organization
FRY EYE ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER TEETER (PRACTICE ADMINISTRATOR)
(620) 275-7248
Entity
Organization
Contact information
Practice address
502 COLLEGE STREET, GARDEN CITY, KS 67846-6183
(620) 275-7248
(620) 275-5262
Mailing address
502 COLLEGE STREET, GARDEN CITY, KS 67846-6183
(620) 275-7248
(620) 275-5262
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100215250A
—
KS
05
—
100722450A
—
OK
05
—
94001922
—
CO
Enumeration date
07/22/2006
Last updated
07/08/2022
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