Dr Matthew Johannes Od, Llc

LBN: Dr Matthew Johannes Od, Llc
Dr Matthew Johannes Od, Llc is an health care organization with primary practice located at 410 N Campus Dr , Garden City KS 67846-6134. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Dr Matthew Johannes Od, Llc can be contacted via phone (620) 275-2222, or through Johannes, Matthew via phone (620) 275-2222.

Contact Information

Primary practice address
410 N Campus Dr Garden City KS 67846-6134
Phone: (620) 275-2222
Fax: (620) 275-0829
Website:
Map and Directions
Authorized official contact:
Name: Johannes, Matthew Doctor of Optometry (OD)
Phone: (620) 275-2222

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1552 Kansas

Profile Details

NPI number 1508274960
LBN Legal business name Dr Matthew Johannes Od, Llc
DBA Doing business as
Authorized official Johannes, Matthew Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2014
Last updated Apr 14th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508274960 NPPES
Kansas MEDICAID 200259360A

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