Organization
LAWRENCE OPTOMETRIC CENTER, LLC
Active
Other names
Lawrence Optometric Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AARON R WILMES OD (OWNER)
(785) 842-1242
Entity
Organization
Contact information
Practice address
930 IOWA ST, SUITE 3, LAWRENCE, KS 66044-1869
(785) 842-1242
(785) 842-9557
Mailing address
930 IOWA ST, SUITE 3, LAWRENCE, KS 66044-1869
(785) 842-1242
(785) 842-9557
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1698
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100220580
—
KS
05
—
200268940D
—
KS
Enumeration date
10/12/2007
Last updated
07/19/2011
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