Whalio Doctors

NPI 1861463341

Russell L McCaulley, OD

Practitioner Optometrist Great Bend, KS

Practice location

Address
2601 10th St, Great Bend, KS 67530-4253
Phone
(620) 792-2020

Registered specialties

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 1198-3 (KS)

Registry record

NPI
1861463341
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.