Organization
OPTICAL 2020
Active
Parent organization
OPTICAL 2020
Organization subpart
Yes
Provider details
NPI number
Legal business name
OPTICAL 2020
Authorized official
DONALD J SCHILTZ (OWNER)
(620) 624-2020
Entity
Organization
Contact information
Practice address
10 VILLAGE PLZ, LIBERAL, KS 67901-2762
(620) 624-2020
Mailing address
10 VILLAGE PLZ, LIBERAL, KS 67901-2762
(620) 624-2020
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000117569
BCBS
KS
Enumeration date
03/27/2007
Last updated
12/30/2013
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