Individual
DR. ROBERT G SHANK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
OD TMOD TPA
Contact information
Practice address
801 COMMERCIAL, EMPORIA, KS 66801
(620) 342-2109
Mailing address
801 COMMERCIAL, PO BOX 1155, EMPORIA, KS 66801
(620) 342-2109
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10132
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5263
BCBS
KS
Enumeration date
03/02/2006
Last updated
07/08/2007
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