Basic Information
Provider Information
NPI: 1689904179
EntityType: 2
ReplacementNPI:  
OrganizationName: DRS PRICE YOUNG ODLE & HORSCH PA
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName: THE EYEDOCTORS
OtherOrganizationType: 3
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2800 SW WANAMAKER RD
Address2: SUITE 192
City: TOPEKA
State: KS
PostalCode: 666144293
CountryCode: US
TelephoneNumber: 7852720707
FaxNumber: 7854386777
Practice Location
Address1: 8 S BROADWAY ST
Address2:  
City: LOUISBURG
State: KS
PostalCode: 660533613
CountryCode: US
TelephoneNumber: 6362004393
FaxNumber: 9132943309
Other Information
ProviderEnumerationDate: 01/05/2010
LastUpdateDate: 06/07/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: HORSCH
AuthorizedOfficialFirstName: BRIAN
AuthorizedOfficialMiddleName: J
AuthorizedOfficialTitleorPosition: PRESIDENT
AuthorizedOfficialTelephone: 7852720707
IsSoleProprietor:  
IsOrganizationSubpart: Y
ParentOrganizationLBN: DRS PRICE YOUNG ODLE & HORSCH PA
AuthorizedOfficialNamePrefix: DR.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: OD
NPICertificationDate:  

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

No ID Information.


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