Organization
TERRY R CARNEY OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRY RAY CARNEY OD (DOCTOR OF OPTOMETRY)
(785) 266-1100
Entity
Organization
Contact information
Practice address
2144 SW 36TH ST, TOPEKA, KS 66611-2554
(785) 266-1100
(785) 266-2441
Mailing address
2144 SW 36TH ST, TOPEKA, KS 66611-2554
(785) 266-1100
(785) 266-2441
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1255-3
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0669310001
NORIDIAN PTAN
KS
01
—
1306110077
PALMETTO GBA GROUP NPI
KS
01
—
1669402475
INDIVIDUAL NPI
KS
01
—
DS5255
PALMETTO GBA GROUP PTAN
KS
01
—
KA2517
MEDICARE PTAN
KS
01
—
P01038533
PALMETTO GBA INDIVIDUAL PTAN
KS
Enumeration date
02/28/2012
Last updated
04/10/2013
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