Ayre, Douglas Duane

Ayre, Douglas Duane is an individual health care provider with primary practice located at 722 Mann Ave , Larned KS 67550-2909. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Ayre, Douglas Duane can be contacted via phone (620) 285-2105.

Contact Information

Primary practice address
722 Mann Ave Larned KS 67550-2909
Phone: (620) 285-2105
Fax: (620) 285-7236
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 14723 Kansas

Profile Details

NPI number 1821066671
LBN Legal business name Ayre, Douglas Duane
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated May 9th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821066671 NPPES
Kansas MEDICAID 100281500D
Kansas MEDICAID 100281500E
Kansas MEDICAID 200001160A

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