Organization
VIERTHALER KESSEN OPTOMETRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOIS ANN VIERTHALER KESSEN O.D. (OWNER)
(620) 225-6500
Entity
Organization
Contact information
Practice address
208 W ROSS BLVD, SUITE A, DODGE CITY, KS 67801
(620) 225-6500
(620) 225-6597
Mailing address
208 W ROSS BLVD, SUITE A, DODGE CITY, KS 67801
(620) 225-6500
(620) 225-6597
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1378-3
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
065080
BLUE CROSS BLUE SHIELD
KS
Enumeration date
04/27/2007
Last updated
10/26/2022
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