| Mid Kansas Eyecare, Inc. | |
|
607 E Randall Hesston KS 67062-0696 | |
| (620) 327-2800 | |
| (620) 327-2055 |
| Full Name | Mid Kansas Eyecare, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 607 E Randall, Hesston, Kansas |
| Authorized Official Name and Position | Paul E. Unruh (OWNER) |
| Authorized Official Contact | 6203272800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mid Kansas Eyecare, Inc. Po Box 696 Hesston KS 67062-0696 Ph: (620) 327-2800 | Mid Kansas Eyecare, Inc. 607 E Randall Hesston KS 67062-0696 Ph: (620) 327-2800 |
| NPI Number | 1902060122 |
|---|---|
| Provider Enumeration Date | 07/16/2008 |
| Last Update Date | 07/31/2009 |
| Medicare PECOS PAC ID | 7416024005 |
|---|---|
| Medicare Enrollment ID | O20080924000075 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902060122 | NPI | - | NPPES |
| 410040591 | Other | KS | RAILROAD MEDICARE |
| 1528035433 | Medicaid | KS | |
| 200588540A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 11913 (Kansas) | Primary |
| Provider Name | Paul E Unruh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1528035433 PECOS PAC ID: 2062589658 Enrollment ID: I20080924000069 |
| Provider Name | Jessica Unruh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1770896367 PECOS PAC ID: 5698890812 Enrollment ID: I20100913000030 |
Sunrise Nutrition Consulting Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 359 N Old Us Highway 81, Hesston, KS 67062 Phone: 316-217-2984 Fax: 620-869-9032 | |
Mid Kansas Family Practice Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 705 E Randall, Hesston, KS 67062 Phone: 620-327-2440 Fax: 620-327-2062 |