Individual
DR. DOUGLAS DUANE AYRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
722 MANN AVE, LARNED, KS 67550-2909
(620) 285-2105
(620) 285-7236
Mailing address
722 MANN AVE, LARNED, KS 67550-2909
(620) 285-2105
(620) 285-7236
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
14723
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100281500D
—
KS
05
—
100281500E
—
KS
05
—
200001160A
—
KS
Enumeration date
03/09/2006
Last updated
05/09/2013
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