Organization
EYE ASSOCIATES OF WICHITA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA J MOSTELLER OD (OWNER OPTOMETRIST)
(316) 943-0433
Entity
Organization
Contact information
Practice address
4600 W KELLOGG, SUITE 215, WICHITA, KS 67209
(316) 943-0433
(316) 943-0433
Mailing address
4600 W KELLOGG DR, 215, WICHITA, KS 67209-2568
(316) 943-0433
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
10/26/2006
Last updated
04/09/2008
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