Organization
CHANUTE EYE CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM D VIETTI O.D. (PRESIDENT)
(620) 431-0010
Entity
Organization
Contact information
Practice address
32 W MAIN ST, CHANUTE, KS 66720-1701
(620) 431-0010
(620) 431-6959
Mailing address
PO BOX 307, CHANUTE, KS 66720-0307
(620) 431-0010
(620) 431-6959
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10623
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100091080A
—
KS
01
—
826580215
R R MEDICARE
—
Enumeration date
04/24/2008
Last updated
10/31/2012
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