Individual
WILLIAM D VIETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD PA
Contact information
Practice address
32 W MAIN, CHANUTE, KS 66720
(620) 431-0010
(620) 431-6959
Mailing address
PO BOX 307, CHANUTE, KS 66720
(620) 431-0010
(620) 431-6959
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10623
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100091080A
—
KS
Enumeration date
08/04/2006
Last updated
12/16/2011
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