Individual
ANTHONY KENT HARTNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O. D.
Contact information
Practice address
706 SMILES AVE, AUGUSTA, KS 67010-2385
(316) 775-6155
(316) 775-0296
Mailing address
1851 N WEBB RD, ATTN - FLR2, WICHITA, KS 67206-3413
(316) 636-2010
(316) 858-3830
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1775
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200518180A
—
KS
01
—
CD2825
RAILROAD MEDICARE GROUP NUMBER
KS
01
—
P00466505
RAILROAD MEDICARE PTAN
KS
Enumeration date
08/10/2007
Last updated
12/05/2013
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