Mccaulley Optometric PA

NPI #1043255243 in Great Bend, Kansas

Provider Information

NPI Number: 1043255243
Entity Type: Organization
Organization Name: Mccaulley Optometric PA
Primary Specialty: Optometrist
Enumeration Date: Jun 19, 2006
Last Updated: Jun 23, 2008

Practice Location

Address: 2601 10TH ST
City: Great Bend
State: Kansas
ZIP Code: 67530-4253
Phone: (620) 792-2020

Authorized Official

Name: DR. RUSSELL L MCCAULLEY, O.D.
Title: OWNER
Phone: (620) 792-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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