Individual
DR. PAUL J NIEGSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
101 N BROADWAY ST, STE #A, PITTSBURG, KS 66762-4804
(620) 232-3277
(620) 231-6680
Mailing address
PO BOX 186, PITTSBURG, KS 66762-0186
(620) 232-3277
(620) 231-6680
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1242-3
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4740220001
CIGNA
KS
01
—
60110
PREFERRED HEALTH SYSTEMS
KS
01
—
618650
FIRST GUARD
KS
01
—
650906
BLUE CROSS BLUE SHIELD
KS
Enumeration date
10/17/2005
Last updated
04/16/2008
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