Ulysses Eyecare, L.L.C.

Organization Active NPI Clinic/Center · Ulysses, KS

NPI 1962669291 · NPPES record last updated Nov 25, 2008

Key facts

NPI
1962669291
Entity type
Organization (NPI type 2)
Primary specialty
Clinic/Center 261Q00000X
License
1026-3 (KS)
Legal business name
ULYSSES EYECARE, L.L.C.
Practice address
1100 W Oklahoma Ave
Ulysses, KS 67880-2359
Phone
(620) 356-4094
Fax
(620) 356-1978
NPI assigned
May 22, 2008
Organization subpart
No

Authorized official

Name
Gregory Copeland, D.O.
Title
Optometrist/Owner
Phone
(620) 356-4094

National Provider Directory

Locations

1100 W Oklahoma Ave
Ulysses, KS 67880
Phone (620) 356-4094

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 1026-3 KS Yes

Addresses

Primary practice location

1100 W Oklahoma Ave
Ulysses, KS 67880-2359

Mailing address

1100 W Oklahoma Ave
Ulysses, KS 67880-2359
Phone (620) 356-4094

Other identifiers

IdentifierTypeStateIssuer
100219550CMedicaidKS

Other providers in Ulysses, KS

All providers in Ulysses, KS · Clinic/Center in Kansas

Sources for this page

Verify at the official NPI Registry.