DRS Price Young Odle & Horsch PA
Organization Active NPI Optometrist · Junction City, KS
NPI 1811965015 · NPPES record last updated Oct 17, 2023
Key facts
- NPI
- 1811965015
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- KS 1436 (KS)
- Legal business name
- DRS PRICE YOUNG ODLE & HORSCH PA
- Practice address
- 1025 W 6TH St
Junction City, KS 66441-3230 - Phone
- (636) 200-4393
- Fax
- (785) 223-0257
- NPI assigned
- Mar 14, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Angela Kaye Truelove, OD
- Title
- Owner
- Phone
- (636) 200-4393
Other NPIs on the same Medicare enrollment 17
Other NPIs with the same Medicare PAC ID 6
Practitioners 29
-
Dirk A Dittemore, O.D.
-
Kyle Robert Bechtold, O.D
-
Jayme Ashley Brown, O.D.
-
Brian Robert Carpenter, O.D.
-
Rachel Christie, OD
-
Kimberlynn Ann Dittemore, O.D.
-
Thomas Hatesohl, OD
-
Amy Louise Havens Lower, O.D.
-
Sally Grace Irwin, O.D.
-
Rebecca Klee, OD
-
Nathan Lawrence Kluttz, O.D.
-
Angela M. Macdonald, O.D.
-
Jason Manes, OD
-
Scott B McClain, O.D.
-
James Burnard McDaniel, O.D.
-
Jessica Kristine Putnam, O.D.
-
Edwin Ivan Rodriguez, O.D.
-
Angela Kaye Truelove, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040601001299 | KS | Part B Supplier - Clinic/Group Practice | 2062494420 |
Receives reassigned benefits from 44 practitioners 19 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Burlington, KS; Topeka, KS; Salina, KS; Paola, KS; Ottawa, KS; Olathe, KS; Maryville, KS; Manhattan, KS… |
| O20100930077457 | KS | DME Supplier - Physician - Optometrist | 2062494420 | Practice locations: Junction City, KS |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | KS 1436 | KS | Yes |
Addresses
Primary practice location
1025 W 6TH St
Junction City, KS 66441-3230
Mailing address
PO Box 207293
Dallas, TX 75320-7255
Phone (636) 200-4393
Other names
- The EyeDoctors
Other providers in Junction City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2023. 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.