Judd, Mark A
Judd, Mark A is an individual health care provider with primary practice located at 1400 Sw Huntoon St , Topeka KS 66604-1231. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Judd, Mark A can be contacted via phone (785) 861-8800.Contact Information
Primary practice address
1400 Sw Huntoon St
Topeka KS 66604-1231
Phone: (785) 861-8800
Fax: (785) 478-5991
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1484-3 | Kansas |
Profile Details
| NPI number | 1376511758 |
|---|---|
| LBN Legal business name | Judd, Mark A |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 10th, 2006 |
| Last updated | Nov 22nd, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376511758 | NPPES |
| Kansas | Other | 065133 | BLUE CROSS |
| Kansas | MEDICAID | 100280160F | BLUE CROSS |
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