Organization
FLINTHILLS EYECARE ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GILAN L COCKRELL OD (PRESIDENT)
(620) 343-7120
Entity
Organization
Contact information
Practice address
512 COMMERCIAL ST, EMPORIA, KS 66801-4006
(620) 343-7120
(620) 343-2038
Mailing address
512 COMMERCIAL ST, EMPORIA, KS 66801-4006
(620) 343-7120
(620) 343-2038
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017065
BCBS GROUP
KS
Enumeration date
02/01/2006
Last updated
12/17/2007
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