Dittemore, Dirk A

Dittemore, Dirk A is an individual health care provider with primary practice located at 550 Pope Ave Optometry Clinic, Fort Leavenworth KS 66027-2332. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Dittemore, Dirk A can be contacted via phone (913) 684-6750.

Contact Information

Primary practice address
550 Pope Ave Optometry Clinic Fort Leavenworth KS 66027-2332
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1348 Kansas

Profile Details

NPI number 1538240791
LBN Legal business name Dittemore, Dirk A
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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