Organization
MICHAEL A HATTAN OD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEE ANN GARRISON (ASSISTANT)
(785) 625-2226
Entity
Organization
Contact information
Practice address
1517 E 27TH ST, HAYS, KS 67601-2111
(785) 625-2226
(785) 625-9167
Mailing address
PO BOX 357, 1517 E 27TH ST, HAYS, KS 67601-0357
(785) 625-2226
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
332H00000X
Eyewear Supplier
11693
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005158
BLUE CROSS BLUE SHIELD
KS
05
—
30004683530001
—
KS
Enumeration date
02/21/2008
Last updated
04/05/2024
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