Organization
GALLAGHER EYE CARE OF HOLTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LESLIE COFFEE GALLAGHER O.D. FAAO (OWNER)
(785) 364-5036
Entity
Organization
Contact information
Practice address
121 W 4TH ST, HOLTON, KS 66436-1701
(785) 364-5000
(785) 364-5473
Mailing address
121 W 4TH ST, HOLTON, KS 66436-1701
(785) 364-5000
(785) 364-5473
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
KS1648
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5606570001
NORIDIAN DMERC
KS
Enumeration date
05/24/2007
Last updated
07/15/2010
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