Individual
DR. JAMES S JURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
926 E DOUGLAS AVE, WICHITA, KS 67202-3510
(316) 247-6515
(678) 928-0651
Mailing address
926 E DOUGLAS AVE, WICHITA, KS 67202-3510
(316) 247-6515
(678) 928-0651
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1282
KS
152W00000X
Optometrist
Primary
1282-3
KS
152WC0802X
Corneal and Contact Management Optometrist
1282
KS
152WL0500X
Low Vision Rehabilitation Optometrist
1282
KS
152WP0200X
Pediatric Optometrist
1282
KS
152WS0006X
Sports Vision Optometrist
1282
KS
152WV0400X
Vision Therapy Optometrist
1282
KS
152WX0102X
Occupational Vision Optometrist
1282
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017160
BCBS OF KS
KS
05
—
200622550A
—
KS
01
—
651667
BCBS OF KANSAS
—
01
—
670668
BCBS OF KS
KS
Enumeration date
09/07/2006
Last updated
07/23/2013
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