Provider Demographics
NPI:1154678522
Name:WAINWRIGHT EYE CARE, P.A.
Entity Type:Organization
Organization Name:WAINWRIGHT EYE CARE, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KYLE
Authorized Official - Middle Name:
Authorized Official - Last Name:WAINWRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:785-539-8019
Mailing Address - Street 1:101 BLUEMONT AVE
Mailing Address - Street 2:ATTN: DR. WAINWRIGHT
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66502-5093
Mailing Address - Country:US
Mailing Address - Phone:785-539-8019
Mailing Address - Fax:785-587-0676
Practice Address - Street 1:101 BLUEMONT AVE
Practice Address - Street 2:ATTN: DR. WAINWRIGHT
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66502-5093
Practice Address - Country:US
Practice Address - Phone:785-539-8019
Practice Address - Fax:785-587-0676
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-04
Last Update Date:2013-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1931152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty