Individual
MR. STEPHEN T CAUBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2405 CENTRAL AVE, DODGE CITY, KS 67801-6206
(620) 227-2471
(816) 817-1519
Mailing address
1000 S 169 HWY, SMITHVILLE, MO 64089-9322
(888) 749-7755
(816) 817-1519
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1116-2
KS
152W00000X
Optometrist
Primary
1116-3
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100090280A
—
KS
Enumeration date
04/05/2006
Last updated
12/05/2016
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