NPI 1104897677
Chad T Premer, OD
Practice location
- Address
- 2601 10th St, Great Bend, KS 67530-4253
- Phone
- (620) 792-2020
- Fax
- (620) 792-2583
Registered specialties
Optometrist
Primary
Registry record
- NPI
- 1104897677
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 31 Jan 2006
- Record last updated
- 6 May 2014
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.