Individual
DR. MIKE E TODD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
301 E MAIN ST, VALLEY CENTER, KS 67147-2153
(316) 755-0491
(316) 755-1206
Mailing address
301 E MAIN ST, VALLEY CENTER, KS 67147-2153
(316) 755-0491
(316) 755-1206
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1141-3
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100091160B
—
KS
Enumeration date
09/02/2005
Last updated
07/19/2022
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