Organization
WIMMER P.A.
Active
Other names
Wimmer Vision Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRADLEY R WIMMER O.D. (OWNER/DOCTOR)
(620) 232-1005
Entity
Organization
Contact information
Practice address
411 E CENTENNIAL DR, PITTSBURG, KS 66762-6505
(620) 232-1005
(620) 231-5821
Mailing address
411 E CENTENNIAL DR, PITTSBURG, KS 66762-6505
(620) 232-1005
(620) 231-5821
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1270-02
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100219350B
—
KS
Enumeration date
08/20/2006
Last updated
10/29/2014
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