Organization
MID KANSAS EYECARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL E. UNRUH O.D. (OWNER)
(620) 327-2800
Entity
Organization
Contact information
Practice address
607 E RANDALL, HESSTON, KS 67062-0696
(620) 327-2800
(620) 327-2055
Mailing address
PO BOX 696, HESSTON, KS 67062-0696
(620) 327-2800
(620) 327-2055
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
11913
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528035433
—
KS
05
—
200588540A
—
KS
01
—
410040591
RAILROAD MEDICARE
KS
Enumeration date
07/16/2008
Last updated
07/31/2009
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