MEDICARE: SINGLETON-JOYCE OPTICAL DISPENSERS, INC.

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	332H00000X	Eyewear Supplier		KS

General Provider Information

NPI Number	:	1104902485
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SINGLETON-JOYCE OPTICAL DISPENSERS, INC.

Provider Business Mailing Address
First Line	:	23 N MAIN ST
Second Line	:
City	:	HUTCHINSON
State	:	KS
Zip	:	67501-5216
Country	:	US
Telephone Number	:	620-663-3740
Fax Number	:	620-663-6940

Provider Business Practice Location Address
First Line	:	23 N MAIN ST
Second Line	:
City	:	HUTCHINSON
State	:	KS
Zip	:	67501-5216
Country	:	US
Telephone Number	:	620-663-3740
Fax Number	:	620-663-6940

Authorized Official
Title or Position	:	OWNER/PRES.
Name	:	MR. ERIC LEWIS JOYCE
Credential	:
Telephone Number	:	620-663-3740

Provider Enumeration Date	:	10/28/2006
Last Update Date	:	02/01/2013

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