Dr T Gregory Dulos Od

LBN: Dr T Gregory Dulos Optometrist Pa
Dr T Gregory Dulos Od is an health care organization with primary practice located at 1302 S Main St , Ottawa KS 66067-3527. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Dr T Gregory Dulos Optometrist Pa can be contacted via phone (785) 242-3707, or through Dulos, Thomas Gregory via phone (785) 242-3707.

Contact Information

Primary practice address
1302 S Main St Ottawa KS 66067-3527
Fax: (785) 242-3937
Website:
Authorized official contact:
Name: Dulos, Thomas Gregory Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X KS1167-3 Kansas

Profile Details

NPI number 1477842292
LBN Legal business name Dr T Gregory Dulos Optometrist Pa
DBA Doing business as Dr T Gregory Dulos Od
Authorized official Dulos, Thomas Gregory Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 1st, 2011
Last updated May 26th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477842292 NPPES
Kansas MEDICAID 100217840C
Kansas Other KA2179

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