NPI 1003908237

Gary L. Beaver, OD

Practitioner Optometrist Independence, KS

Practice location

Address: 300 W Laurel St, Independence, KS 67301-3315
Phone: (620) 331-2112
Fax: (620) 331-2147
Mailing address: PO Box 47, Independence, KS 67301-0047

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 1294-3 (KS)

Other Optometrist providers in Kansas →

Registry record

NPI: 1003908237
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Sep 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.