Pace, James R

Pace, James R is an individual health care provider with primary practice located at 1039 N Broadway St , Wichita KS 67214-2906. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Pace, James R can be contacted via phone (316) 262-8476.

Contact Information

Primary practice address
1039 N Broadway St Wichita KS 67214-2906
Phone: (316) 262-8476
Fax: (316) 262-8477
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 972-3 Kansas

Profile Details

NPI number 1225022635
LBN Legal business name Pace, James R
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2005
Last updated Jun 14th, 2011 - about 15 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 1225022635 NPPES
Kansas Other 665030 FIRST GUARD
Kansas Other 4083937 FIRST GUARD
Kansas Other 1241 FIRST GUARD
Kansas Other 410044812 FIRST GUARD
Kansas MEDICAID 100090590B FIRST GUARD
Kansas Other 650799 FIRST GUARD

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