MEDICARE: TRAN MAJHER AND SHAW O.D. P.A.

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	1600	KS

General Provider Information

NPI Number	:	1851532378
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRAN MAJHER AND SHAW O.D. P.A.

Provider Business Mailing Address
First Line	:	2251 N WOODLAWN BLVD
Second Line	:
City	:	WICHITA
State	:	KS
Zip	:	67220-3947
Country	:	US
Telephone Number	:	316-686-6063
Fax Number	:	316-686-4214

Provider Business Practice Location Address
First Line	:	2508 EDGEMONT DR STE 6
Second Line	:
City	:	ARKANSAS CITY
State	:	KS
Zip	:	67005-3844
Country	:	US
Telephone Number	:	620-442-2577
Fax Number	:	620-442-2578

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	DR. BRAD DOUGLAS MAJHER
Credential	:	O.D.
Telephone Number	:	316-686-6063

Provider Enumeration Date	:	03/12/2009
Last Update Date	:	03/12/2009

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