MEDICARE: DR. JOHN L. MURPHY O.D.

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	KS1057-3	KS

General Provider Information

NPI Number	:	1811006976
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN L. MURPHY O.D.

Provider Business Mailing Address
First Line	:	1555 N FREEDOM RD
Second Line	:
City	:	WICHITA
State	:	KS
Zip	:	67230-7173
Country	:	US
Telephone Number	:	316-689-8200
Fax Number	:	316-689-8200

Provider Business Practice Location Address
First Line	:	1555 N FREEDOM RD
Second Line	:
City	:	WICHITA
State	:	KS
Zip	:	67230-7173
Country	:	US
Telephone Number	:	316-689-8200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	07/08/2007

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