Donnelly, Douglas Alan

Donnelly, Douglas Alan is an individual health care provider with primary practice located at 424 N Washington Ave , Iola KS 66749-2353. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Donnelly, Douglas Alan can be contacted via phone (620) 365-2108.

Contact Information

Primary practice address
424 N Washington Ave Iola KS 66749-2353
Phone: (620) 365-2108
Fax: (620) 365-2522
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1277 Kansas

Profile Details

NPI number 1912972308
LBN Legal business name Donnelly, Douglas Alan
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Jul 13th, 2026 - about 3 months 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 1912972308 NPPES
Kansas Other P00094712 RAILROAD MEDICARE
Kansas Other 658080 RAILROAD MEDICARE
Kansas MEDICAID 100218530B RAILROAD MEDICARE

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