G Derril Gwinner, O.d. L.l.c.

NPI #1710129713 in Lincoln, Kansas

Provider Information

NPI Number: 1710129713
Entity Type: Organization
Organization Name: G Derril Gwinner, O.d. L.l.c.
Primary Specialty: Optometrist
Enumeration Date: Apr 6, 2009
Last Updated: Apr 6, 2009

Practice Location

Address: 208 W LINCOLN AVE
City: Lincoln
State: Kansas
ZIP Code: 67455-1920
Phone: (785) 524-5244

Authorized Official

Name: MR. G. DERRIL GWINNER, O.D.
Title: OPTOMETRIST
Phone: (785) 472-3272

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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