Provider Demographics
NPI:1083606545
Name:DEUTSCHER, CHRIS A (OD)
Entity Type:Individual
Prefix:
First Name:CHRIS
Middle Name:A
Last Name:DEUTSCHER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1140 SW FAIRLAWN RD
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66604-2020
Mailing Address - Country:US
Mailing Address - Phone:785-235-2374
Mailing Address - Fax:785-232-0136
Practice Address - Street 1:1140 SW FAIRLAWN RD
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66604-2020
Practice Address - Country:US
Practice Address - Phone:785-235-2374
Practice Address - Fax:785-232-0136
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-19
Last Update Date:2019-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1477-3152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS411034561OtherRAIL ROAD MEDICARE
KS1083606545Medicaid
KSU62687Medicare UPIN
KS0827820001Medicare NSC
KS1083606545Medicaid