Provider Demographics
NPI:1205370897
Name:DRS PRICE YOUNG ODLE & HORSCH PA
Entity Type:Organization
Organization Name:DRS PRICE YOUNG ODLE & HORSCH PA
Other - Org Name:THE EYEDOCTORS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DISTRICT MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:J
Authorized Official - Last Name:LONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-272-0707
Mailing Address - Street 1:415 SE LOUIS DR
Mailing Address - Street 2:
Mailing Address - City:MULVANE
Mailing Address - State:KS
Mailing Address - Zip Code:67110-1205
Mailing Address - Country:US
Mailing Address - Phone:316-777-0022
Mailing Address - Fax:
Practice Address - Street 1:2800 SW WANAMAKER RD
Practice Address - Street 2:STE 192
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66614-4293
Practice Address - Country:US
Practice Address - Phone:636-200-4393
Practice Address - Fax:785-272-0575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-15
Last Update Date:2019-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty