Schletzbaum, Jeffery J.
Schletzbaum, Jeffery J. is an individual health care provider with primary practice located at 2311 N Waldron St , Hutchinson KS 67502-1133. He recently has 5 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Sports Vision, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Schletzbaum, Jeffery J. can be contacted via phone (620) 663-4467.Contact Information
Primary practice address
2311 N Waldron St
Hutchinson KS 67502-1133
Phone: (620) 663-4467
Fax: (620) 663-5007
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1663 | Kansas |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 1663 | Kansas |
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | 1663 | Kansas |
| Eye and Vision Services Providers / Sports Vision | 152WS0006X | 1663 | Kansas |
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X | 1663 | Kansas |
Profile Details
| NPI number | 1780653394 |
|---|---|
| LBN Legal business name | Schletzbaum, Jeffery J. |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 16th, 2006 |
| Last updated | Jul 23rd, 2009 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780653394 | NPPES |
| Other | 464910 | KANSAS HEALTHWAVE | |
| Other | 4901160002 | KANSAS HEALTHWAVE | |
| Other | P00016824 | KANSAS HEALTHWAVE | |
| MEDICAID | 200252620A | KANSAS HEALTHWAVE |
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