MEDICARE: WILLIAM CHRISTOPHER ARENSBERG O.D.

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
1	152W00000X	Optometrist	1319-3	KS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346236734
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM CHRISTOPHER ARENSBERG O.D.

Provider Business Mailing Address
First Line	:	345 N HILLSIDE ST
Second Line	:	SUITE 1B
City	:	WICHITA
State	:	KS
Zip	:	67214-4905
Country	:	US
Telephone Number	:	316-681-3937
Fax Number	:	316-681-0318

Provider Business Practice Location Address
First Line	:	345 N HILLSIDE ST
Second Line	:	SUITE 1B
City	:	WICHITA
State	:	KS
Zip	:	67214-4905
Country	:	US
Telephone Number	:	316-681-3937
Fax Number	:	316-681-0318

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/21/2005
Last Update Date	:	04/10/2012

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