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NPI Code Detail

MEDICARE: SANDRA L EASTER

MEDICARE: SANDRA L EASTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist1958KS
2152W00000XOptometrist1547KS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11871686055OTHERKSBLUE CROSS BLUE SHIELD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316365562
Entity Type Code : Organization
Provider Name (Legal Business Name) : SANDRA L EASTER
Provider Business Mailing Address
First Line : 115 W LAUREL ST
Second Line :
City : INDEPENDENCE
State : KS
Zip : 67301-3311
Country : US
Telephone Number : 620-331-9090
Fax Number : 620-331-0011
Provider Business Practice Location Address
First Line : 115 W LAUREL ST
Second Line :
City : INDEPENDENCE
State : KS
Zip : 67301-3311
Country : US
Telephone Number : 620-331-9090
Fax Number : 620-331-0011
Authorized Official
Title or Position : OWNER
Name : DR. SANDRA L. EASTER
Credential : O. D.
Telephone Number : 620-331-9090
Provider Enumeration Date : 04/04/2014
Last Update Date : 04/04/2014

Similar Medicare Providers

1851572168 — SANDRA L. EASTER, O.D.
Practice Location Address:
115 W LAUREL ST
INDEPENDENCE, KS
67301-3311
Practice Phone: 620-331-9090
Practice Fax: 620-331-0011
1710395769 — DR. SARAH LEIGH KELLEY O.D.
Practice Location Address:
115 W LAUREL ST
INDEPENDENCE, KS
67301-3311
Practice Phone: 620-331-9090
Practice Fax: 620-331-0011
1437692506 — ICARE OPTOMETRY, P.A.
Practice Location Address:
115 W LAUREL ST
INDEPENDENCE, KS
67301-3311
Practice Phone: 620-331-9090
Practice Fax: 620-331-0011
1174952956 — MEGAN CIZERLE-BROWN
Practice Location Address:
3751 W MAIN ST
INDEPENDENCE, KS
67301-8446
Practice Phone: 620-331-1748
Practice Fax:
1326043613 — CITY OF INDEPENDENCE
Practice Location Address:
120 N 6TH ST
INDEPENDENCE, KS
67301-3759
Practice Phone: 620-332-2528
Practice Fax: 620-331-1628
1235134206 — DR. CYNTHIA E SHERWOOD
Practice Location Address:
308 N 6TH ST
INDEPENDENCE, KS
67301-3129
Practice Phone: 620-331-4499
Practice Fax: 620-331-4592

Directions to “SANDRA L EASTER ” Practice Location

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