Jacob Michael Goeser, OD
Optometrist in Wichita, KS. Individual provider (NPI-1).
NPI number1164030060
StatusActive
Last updated in NPPESJul 16, 2020
Details
- NPI
- 1164030060
- Entity type
- Individual (NPI-1)
- Name
- Jacob Michael Goeser
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 16, 2020
- Certification date
- Jul 16, 2020
- Last updated
- Jul 16, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 2119 | KS | Yes |
Practice location
5500 E Kellogg DrWichita, KS 67218-1607
Phone 316-685-2221
Mailing address
7272 E 37th St N Apt 1108Wichita, KS 67226-3222
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All 216 Optometrist providers in Wichita · All 13,560 providers in Wichita
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