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NPI Code Detail

MEDICARE: HEARTLAND EYE CARE, LLC

MEDICARE: HEARTLAND EYE CARE, 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
1207W00000XOphthalmology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1136611OTHERKSBCBS OF KS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1750778791
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEARTLAND EYE CARE, LLC
Provider Business Mailing Address
First Line : 619 SW CORPORATE VW
Second Line :
City : TOPEKA
State : KS
Zip : 66615-1233
Country : US
Telephone Number : 785-235-3322
Fax Number : 785-246-6258
Provider Business Practice Location Address
First Line : 619 SW CORPORATE VW
Second Line :
City : TOPEKA
State : KS
Zip : 66615-1233
Country : US
Telephone Number : 785-235-3322
Fax Number : 785-246-6258
Authorized Official
Title or Position : PHYSICIAN
Name : DR. JOHN C. MARSH
Credential : M.D.
Telephone Number : 785-235-3322
Provider Enumeration Date : 04/16/2015
Last Update Date : 04/16/2015

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Directions to “HEARTLAND EYE CARE, LLC ” Practice Location

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