G Derril Gwinner Od Llc

LBN: G Derril Gwinner Od Llc
G Derril Gwinner Od Llc is an health care organization with primary practice located at 801 E 3Rd St , Ellsworth KS 67439-4224. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. G Derril Gwinner Od Llc can be contacted via phone (785) 472-3272, or through Gwinner, G Derril via phone (785) 472-3272.

Contact Information

Primary practice address
801 E 3Rd St Ellsworth KS 67439-4224
Phone: (785) 472-3272
Fax: (785) 472-3360
Website:
Map and Directions
Authorized official contact:
Name: Gwinner, G Derril Doctor of Optometry (OD)
Phone: (785) 472-3272

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 9613 Kansas

Profile Details

NPI number 1144495490
LBN Legal business name G Derril Gwinner Od Llc
DBA Doing business as
Authorized official Gwinner, G Derril Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 28th, 2008
Last updated Apr 28th, 2008 - about 18 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 1144495490 NPPES
Kansas MEDICAID 100090550A

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