Organization
TYLER L SCHREMMER OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYLER L SCHREMMER OD (OWNER)
(620) 653-2749
Entity
Organization
Contact information
Practice address
801 N PINE ST, HOISINGTON, KS 67544-1847
(620) 653-2749
(620) 653-4508
Mailing address
801 N PINE ST, HOISINGTON, KS 67544-1847
(620) 653-2749
(620) 653-4508
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1409-3
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100327830C
—
KS
01
—
410047431
RAILROAD MEDICARE
KS
01
—
650541
BCBS
KS
Enumeration date
07/26/2006
Last updated
12/21/2007
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