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Organization

ULYSSES EYECARE, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DOUGLAS DUANE AYRE (OPTOMETRIST)
(620) 285-2105
Entity
Organization

Contact information

Practice address
1100 W OKLAHOMA AVE, ULYSSES, KS 67880-2359
(620) 356-4094
(620) 285-9630
Mailing address
747 R5 RD, PAWNEE ROCK, KS 67567-6710
(620) 285-9630

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
KS1472
KS
152W00000X
Optometrist
KS2060
KS
152W00000X
Optometrist
Primary

Other

Enumeration date
11/08/2017
Last updated
03/27/2018
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