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General NPI Number Information
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NPI Number | 1528187325
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Entity Type | Organization
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Legal Business Name | KS FAMILY OPTOMETRY LLC
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Dates
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Enumeration Date | 03/29/2007
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Last Update Date | 02/13/2026
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Provider Practice Location Address
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Address Line | 3000 E 9TH AVE STE B
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City | WINFIELD
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State | KS
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Zip | 67156-3441
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Country | US
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Telephone | 620-221-2015
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Fax | 620-221-2466
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Provider Business Mailing Address
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Address Line | 3000 E 9TH AVE STE B
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City | WINFIELD
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State | KS
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Zip | 67156-3441
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Country | US
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Telephone | 620-221-2015
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Fax | 620-221-2466
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | AUDREY FEASTER
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Credential |
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Telephone | 620-221-2015
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | KS1376
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License Number State | KS
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