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NPI Code Detail

MEDICARE: DRS JOYCE & HURSH, LLC

MEDICARE: DRS JOYCE & HURSH, LLC
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
1152W00000XOptometristKS1817KS
2152W00000XOptometristKS1112-3KS

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1DF9667OTHERKSRAILROAD MEDICARE
517062001OTHERKSMEDICARE PTAN

Other Identifiers

General Provider Information

NPI Number : 1497823538
Entity Type Code : Organization
Provider Name (Legal Business Name) : DRS JOYCE & HURSH, LLC
Provider Business Mailing Address
First Line : 201 N VINE ST
Second Line :
City : EL DORADO
State : KS
Zip : 67042-2055
Country : US
Telephone Number : 316-321-4020
Fax Number : 316-321-0115
Provider Business Practice Location Address
First Line : 201 N VINE ST
Second Line :
City : EL DORADO
State : KS
Zip : 67042-2055
Country : US
Telephone Number : 316-321-4020
Fax Number : 316-321-0115
Authorized Official
Title or Position : OPTOMETRIST
Name : DR. GREGORY PAUL JOYCE
Credential : O.D.
Telephone Number : 316-321-4020
Provider Enumeration Date : 11/30/2006
Last Update Date : 12/09/2016

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Directions to “DRS JOYCE & HURSH, LLC ” Practice Location

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