Individual
DR. REBECCA C. SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
307 W HWY 54, STE 100, ANDOVER, KS 67002-7849
(316) 201-1837
Mailing address
307 W US HIGHWAY 54 STE 100, ANDOVER, KS 67002-7849
(316) 201-1837
(316) 239-6014
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1496-3
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100276150D
—
KS
Enumeration date
05/22/2006
Last updated
03/31/2020
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