MEDICARE: DRS PRICE YOUNG ODLE & HORSCH PA

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	152W00000X	Optometrist	KS 1596	KS

General Provider Information

NPI Number	:	1235108101
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DRS PRICE YOUNG ODLE & HORSCH PA

Provider Business Mailing Address
First Line	:	PO BOX 207293
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75320-7255
Country	:	US
Telephone Number	:	636-200-4393
Fax Number	:	636-527-0766

Provider Business Practice Location Address
First Line	:	2600 IOWA ST
Second Line	:
City	:	LAWRENCE
State	:	KS
Zip	:	66046-4152
Country	:	US
Telephone Number	:	636-200-4393
Fax Number	:	785-842-1291

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ANGELA KAYE TRUELOVE
Credential	:	OD
Telephone Number	:	636-200-4393

Provider Enumeration Date	:	03/14/2006
Last Update Date	:	10/17/2023

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