Organization
KANNARR EYE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANE R KANNARR OD (OWNER/OD)
(620) 724-4800
Entity
Organization
Contact information
Practice address
111 N SUMMIT ST, GIRARD, KS 66743-1360
(620) 724-4800
(620) 724-4034
Mailing address
101 W 29TH ST, PITTSBURG, KS 66762-2696
(620) 235-1737
(620) 235-0358
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1699
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200366110D
—
KS
Enumeration date
10/08/2015
Last updated
10/08/2015
Update your record
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