Organization
DR T GREGORY DULOS OPTOMETRIST PA
Active
Other names
DR T GREGORY DULOS OD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS GREGORY DULOS O.D. (OWNER)
(785) 242-3707
Entity
Organization
Contact information
Practice address
1302 S MAIN ST, OTTAWA, KS 66067-3527
(785) 242-3707
(785) 242-3937
Mailing address
1302 S MAIN ST, OTTAWA, KS 66067-3527
(785) 242-3707
(785) 242-3937
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
KS1167-3
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100217840C
—
KS
01
—
KA2179
MEDICARE ID-TYPE UNSPECIFIED
KS
Enumeration date
04/01/2011
Last updated
05/26/2016
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