Organization
GREAT PLAINS VISION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURIE WHITE O.D. (OWNER)
(620) 227-8622
Entity
Organization
Contact information
Practice address
2010 CENTRAL AVE, DODGE CITY, KS 67801-6442
(620) 227-8622
(620) 227-7099
Mailing address
2010 CENTRAL AVE, DODGE CITY, KS 67801-6442
(620) 227-8622
(620) 227-7099
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1213-3
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100218630B
—
KS
Enumeration date
05/23/2008
Last updated
11/01/2011
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