| Whitesell Optometry, Pa | |
|
21900 S Webster St Ste B, Spring Hill, KS 66083-9609 | |
| (913) 592-2020 | |
| (913) 278-0528 |
| Full Name | Whitesell Optometry, Pa |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 21900 S Webster St Ste B, Spring Hill, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952507527 | NPI | - | NPPES |
| 100644720A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1315 (Kansas) | Primary |
| Provider Name | William Lee Whitesell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1689677411 PECOS PAC ID: 1850416900 Enrollment ID: I20100914000424 |
| Provider Name | Courtney Adele Bloodgood |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1942614714 PECOS PAC ID: 2365668928 Enrollment ID: I20140717001418 |
| Mailing Address | Practice Location Address |
|---|---|
| Whitesell Optometry, Pa 21900 S Webster St Ste B, Spring Hill, KS 66083-9609 Ph: (913) 592-2020 | Whitesell Optometry, Pa 21900 S Webster St Ste B, Spring Hill, KS 66083-9609 Ph: (913) 592-2020 |
Dr. William Lee Whitesell, O.D Optometrist Medicare: Accepting Medicare Assignments Practice Location: 21900 S Webster St, Ste B, Spring Hill, KS 66083 Phone: 913-592-2020 Fax: 913-273-0528 | |
Dr. Courtney Adele Bloodgood, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 21900 S Webster St, Suite B, Spring Hill, KS 66083 Phone: 913-592-2020 Fax: 913-273-0528 |