Organization
DR. DOUGLAS D. AYRE, OPTOMETRIST, PA
Active
Other names
Eyecare of Great Bend
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS DUANE AYRE (PRESIDENT)
(620) 285-2105
Entity
Organization
Contact information
Practice address
713 MCKINLEY, GREAT BEND, KS 67530
(620) 792-3535
(620) 792-3534
Mailing address
713 MCKINLEY, GREAT BEND, KS 67530
(620) 792-3535
(620) 792-3534
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100281500E
—
KS
05
—
200001160A
—
KS
Enumeration date
09/12/2006
Last updated
08/08/2013
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