Individual
DR. JON D. THAYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
311 NW 3RD ST, ABILENE, KS 67410-2632
(785) 263-2020
(785) 263-1290
Mailing address
PO BOX 279, ABILENE, KS 67410-0279
(785) 263-2020
(785) 263-1290
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1061-3
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100090380A
—
KS
Enumeration date
10/03/2005
Last updated
05/06/2008
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