| |
104 West C Ave, Kingman, KS 67068-1313 | |
(620) 532-3154 | |
(620) 532-5662 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 104 West C Ave, Kingman, Kansas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356638662 | NPI | - | NPPES |
200732580A | Medicaid | KS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1696 (Kansas) | Primary |
152W00000X | Optometrist | 1017-3 (Kansas) | Secondary |
Mailing Address | Practice Location Address |
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104 West C Ave, Kingman, KS 67068-1313 Ph: (620) 532-3154 | 104 West C Ave, Kingman, KS 67068-1313 Ph: (620) 532-3154 |
Dr. Andrew W Piester, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 104 West C Ave, Kingman, KS 67068 Phone: 620-532-3154 Fax: 620-532-5662 |