MEDICARE: DR. BRIDGETTE ANNE OSTMEYER 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	KS-1490-3	KS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	651058	OTHER		BCBS
2	222929	OTHER	KS	COLE VISION
3	480950	OTHER	KS	FIRSTGUARD
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	651021	OTHER		BCBS
6	651047	OTHER		BCBS

General Provider Information

NPI Number	:	1821079294
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRIDGETTE ANNE OSTMEYER O.D

Provider Business Mailing Address
First Line	:	2800 SW WANAMAKER RD
Second Line	:	SUITE 192
City	:	TOPEKA
State	:	KS
Zip	:	66614-4293
Country	:	US
Telephone Number	:	785-272-0707
Fax Number	:	785-271-1512

Provider Business Practice Location Address
First Line	:	4745 NW HUNTERS RIDGE CIR
Second Line	:	STE B
City	:	TOPEKA
State	:	KS
Zip	:	66618-2538
Country	:	US
Telephone Number	:	785-246-3937
Fax Number	:	785-246-0527

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

Provider Enumeration Date	:	11/10/2005
Last Update Date	:	06/24/2010

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