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Organization

SCHLETZBAUM OPTOMETRY, INC.

Active
Other names
Drs. Torrence and Schletzbaum
Organization subpart
No

Provider details

NPI number
Authorized official
JEFFERY JOHN SCHLETZBAUM O.D. (OWNER)
(620) 663-4467
Entity
Organization

Contact information

Practice address
2311 N WALDRON ST, HUTCHINSON, KS 67502-1133
(620) 663-4467
(620) 663-5007
Mailing address
2311 N WALDRON ST, HUTCHINSON, KS 67502-1133
(620) 663-4467
(620) 663-5007

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
1663
KS
152W00000X
Optometrist
Primary
950-3
KS
152WC0802X
Corneal and Contact Management Optometrist
1663
KS
152WC0802X
Corneal and Contact Management Optometrist
950-3
KS
152WP0200X
Pediatric Optometrist
1663
KS
152WV0400X
Vision Therapy Optometrist
1663
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100090370B
KS
05
200252620A
KS
01
464910
DR. S'S HEALTHWAVE KS
KS
01
4901160002
GROUP DMERC
01
649460
DR. T'S HEALTHWAVE KS
KS
01
DA0822
GROUP RAILROAD MEDICARE
01
P00016824
DR. S'S RAILROAD MEDICARE
01
P00072603
DR. T'S RAILROAD MEDICARE
Enumeration date
03/14/2006
Last updated
01/06/2011
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