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NPI Code Detail

MEDICARE: VERITY VISION LLC

MEDICARE: VERITY VISION 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
1152W00000XOptometrist

General Provider Information

NPI Number : 1861099368
Entity Type Code : Organization
Provider Name (Legal Business Name) : VERITY VISION LLC
Provider Business Mailing Address
First Line : 6 LAKEWOOD DR
Second Line :
City : GODDARD
State : KS
Zip : 67052-9256
Country : US
Telephone Number : 316-304-2248
Fax Number :
Provider Business Practice Location Address
First Line : 7700 E KELLOGG DR
Second Line :
City : WICHITA
State : KS
Zip : 67207-1772
Country : US
Telephone Number : 316-512-1171
Fax Number :
Authorized Official
Title or Position : OPTOMETRIST
Name : ALISA NOLA
Credential : OD
Telephone Number : 316-304-2248
Provider Enumeration Date : 10/07/2020
Last Update Date : 10/26/2020

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Directions to “VERITY VISION LLC ” Practice Location

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