Organization
EYE CENTER OF FORT SCOTT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA DENISE MITCHELL CPOT (PRACTICE MANAGER)
(620) 223-6440
Entity
Organization
Contact information
Practice address
624 S NATIONAL AVE, FORT SCOTT, KS 66701-1317
(620) 223-6440
(620) 223-6988
Mailing address
624 S NATIONAL AVE, FORT SCOTT, KS 66701-1317
(620) 223-6440
(620) 223-6988
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
152WC0802X
Corneal and Contact Management Optometrist
—
—
152WP0200X
Pediatric Optometrist
—
—
152WS0006X
Sports Vision Optometrist
—
—
152WV0400X
Vision Therapy Optometrist
—
—
152WX0102X
Occupational Vision Optometrist
Primary
—
—
Other
Enumeration date
04/17/2007
Last updated
09/11/2025
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