Individual
DR. MARK A JUDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1400 SW HUNTOON ST, TOPEKA, KS 66604-1231
(785) 861-8800
(785) 478-5991
Mailing address
1701 K 96 HWY, GREAT BEND, KS 67530-3014
(620) 792-8733
(620) 792-3621
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1484-3
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
065133
BLUE CROSS
KS
05
—
100280160F
—
KS
Enumeration date
03/10/2006
Last updated
11/22/2019
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