Individual
DAJANA KOMADINA SEILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1223 N ROCK RD, BLDG C, WICHITA, KS 67206
(316) 634-2020
Mailing address
1223 N ROCK RD, BLDG C, WICHITA, KS 67206-1269
(316) 634-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1920
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1920
OPTOMETRY LICENSE
KS
05
—
201001510A
—
KS
Enumeration date
07/31/2012
Last updated
07/24/2018
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