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Eye Center Of Fort Scott

Eyewear Supplier (Equipment, not the service) in Fort Scott, KS. Organization (NPI-2).

NPI number1659596278
StatusActive
Last updated in NPPESAug 11, 2008

Details

NPI
1659596278
Entity type
Organization (NPI-2)
Legal business name
Eye Center Of Fort Scott
Organization subpart
No
Enumeration date
Apr 17, 2007
Last updated
Aug 11, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332H00000X Eyewear Supplier (Equipment, not the service)––Yes

Practice location

624 S National Ave
Fort Scott, KS 66701-1317

Phone 620-223-6440 · Fax 620-223-6988

Mailing address

624 S National Ave
Fort Scott, KS 66701-1317

Phone 620-223-6440 · Fax 620-223-6988

Authorized official

Diana D Mitchell
Practice Manager
6202236440

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