Organization
NITSCHKE EYE CARE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARIN L NITSCHKE O.D. (OWNER)
(913) 422-7781
Entity
Organization
Contact information
Practice address
13025 KANSAS AVE, BONNER SPRINGS, KS 66012-9206
(913) 422-7781
(913) 422-7796
Mailing address
13025 KANSAS AVE, BONNER SPRINGS, KS 66012-9206
(913) 422-7781
(913) 422-7796
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1407
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003152
—
KS
01
—
20417050
BCBS OF KANSAS CITY IND.
KS
01
—
27968014
BLUE CROSS BLUE SHIELD GP
KS
Enumeration date
05/23/2007
Last updated
08/22/2020
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