Organization
FRAZIER OPTOMETRY, PA
Active
Other names
Frazier Optometry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMIE FRAZIER O.D. (PRESIDENT)
(620) 655-5033
Entity
Organization
Contact information
Practice address
713 MARSH AVE, KINSLEY, KS 67547-1129
(620) 659-3351
(620) 659-3744
Mailing address
713 MARSH AVE, KINSLEY, KS 67547-1129
(620) 659-3351
(620) 659-3744
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1770
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7005750001
DEMERC PTAN
KS
Enumeration date
12/16/2013
Last updated
12/11/2014
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