Idocs Of Dodge City, Pa
LBN: Idocs Of Dodge City, Pa
Idocs Of Dodge City, Pa is an health care organization with primary practice located at 2520 N 14Th Ave , Dodge City KS 67801-2315. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty.
Idocs Of Dodge City, Pa can be contacted via phone (620) 227-3071, or through Gwaltney, Jordan E via phone (620) 227-3071.
Contact Information
Primary practice address
2520 N 14Th Ave
Dodge City KS 67801-2315
Phone: (620) 227-3071
Fax: (620) 227-6911
Website:
Authorized official contact:
Name: Gwaltney, Jordan E Doctor of Optometry (OD)
Phone: (620) 227-3071
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 1744 | Kansas |
Profile Details
NPI number | 1588785786 |
---|---|
LBN Legal business name | Idocs Of Dodge City, Pa |
DBA Doing business as | |
Authorized official | Gwaltney, Jordan E Doctor of Optometry (OD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Apr 3rd, 2007 |
Last updated | Jun 5th, 2009 - about 15 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1588785786 | NPPES |
Kansas | MEDICAID | 100090850A | |
Kansas | Other | 043311 | |
Kansas | MEDICAID | 200399790A | |
Kansas | MEDICAID | 100219900A | |
Kansas | Other | C57955 |
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