Basic Information
Provider Information
NPI: 1013529197
EntityType: 2
ReplacementNPI:  
OrganizationName: DRS PRICE YOUNG ODLE & HORSCH PA
LastName:  
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Mailing Information
Address1: PO BOX 207293
Address2:  
City: DALLAS
State: TX
PostalCode: 753207293
CountryCode: US
TelephoneNumber: 6362004393
FaxNumber: 6365270766
Practice Location
Address1: 975 N MUR LEN RD STE D
Address2:  
City: OLATHE
State: KS
PostalCode: 660621803
CountryCode: US
TelephoneNumber: 9137645995
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/19/2020
LastUpdateDate: 08/19/2020
NPIDeactivationReasonCode:  
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AuthorizedOfficialLastName: HORSCH
AuthorizedOfficialFirstName: BRIAN
AuthorizedOfficialMiddleName: JOSEPH
AuthorizedOfficialTitleorPosition: PRESIDENT
AuthorizedOfficialTelephone: 7852720707
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
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AuthorizedOfficialCredential: OD
NPICertificationDate: 08/19/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
152W00000X  Y193400000X SINGLE SPECIALTY GROUPEye and Vision Services ProvidersOptometrist 

No ID Information.


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