Organization
SENIOR VISION SERVICES OF KANSAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNDON GRAVES O.D. (OWNER)
(402) 898-3232
Entity
Organization
Contact information
Practice address
9239 W CENTER RD, OMAHA, NE 68124-1900
(402) 898-3232
(402) 898-3234
Mailing address
PO BOX 30128, OMAHA, NE 68103-1228
(402) 898-3232
(402) 898-3234
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1539
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DB5426
—
KS
Enumeration date
05/11/2006
Last updated
08/22/2020
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