Axtell Clinic PA
Eyewear Supplier (Equipment, not the service) in Newton, KS. Organization (NPI-2).
NPI number1699136358
StatusActive
Last updated in NPPESJul 21, 2016
Details
- NPI
- 1699136358
- Entity type
- Organization (NPI-2)
- Legal business name
- Axtell Clinic PA
- Organization subpart
- No
- Enumeration date
- Mar 9, 2016
- Last updated
- Jul 21, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier (Equipment, not the service) | – | – | Yes |
Practice location
1715 Medical ParkwaySuite 110b
Newton, KS 67114-9013
Phone 316-283-2800
Mailing address
700 Medical Center Drive Suite 210Suite 210b
Newton, KS 67114
Phone 316-804-4705
Authorized official
Mandy L Hiner
Administrator
3162832800
Is something wrong?
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