Organization
GIANNETTI & RALSTON EYE CARE OF ANDOVER, LLC
Active
Parent organization
GIANNETTI & RALSTON EYE CARE, P.A
Other names
Drs Todd Giannetti & Ralston EyeCare of Andover, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GIANNETTI & RALSTON EYE CARE, P.A
Authorized official
DR. JACE P GIANNETTI O.D (OWNER/SECRETARY)
(316) 775-6341
Entity
Organization
Contact information
Practice address
308 E CENTRAL AVE STE 100, ANDOVER, KS 67002-5604
(316) 775-6341
(316) 775-6680
Mailing address
308 E CENTRAL AVE, ANDOVER, KS 67002-8897
(316) 775-6341
(316) 775-6680
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1869
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100091200A
—
KS
Enumeration date
07/19/2016
Last updated
06/13/2023
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