Atchison Eye Center, LLC
Organization Active NPI Optometrist · Atchison, KS
NPI 1275713653 · NPPES record last updated Jun 17, 2009
Key facts
- NPI
- 1275713653
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- ATCHISON EYE CENTER, LLC
- Practice address
- 727 Commercial St
Atchison, KS 66002-2434 - Phone
- (913) 367-4989
- Fax
- (913) 367-0194
- NPI assigned
- Nov 14, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Thomas L Anderson, OD
- Title
- Owner/Optometrist
- Phone
- (913) 367-4989
Member of 1
Member organizations 1
Practitioners 3
-
Thomas Lee Anderson, O.D.
-
Harold Albright Frieden, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080515000464 | KS | Part B Supplier - Clinic/Group Practice | 4183714355 |
Receives reassigned benefits from 1 practitioner Practice locations: Atchison, KS |
National Provider Directory
Locations
727 Commercial St
Atchison, KS 66002
Phone (913) 367-4989
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
727 Commercial St
Atchison, KS 66002-2434
Mailing address
PO Box 402
Atchison, KS 66002-0402
Phone (913) 367-4989
Other providers in Atchison, KS
- Atchison Community Health Clinic Inc
- Atchison Community Health Clinic Inc
- Atchison Community Health Clinic, Inc.
- Atchison Dental Associates 2 PA
- Atchison Dental Associates PA
- Atchison Family Medicine, P.a.
- Atchison Home Health Equipment, Inc
- Atchison Hospital
- Atchison Public Schools Usd 409
- Sarah J Bakri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.