Provider Demographics
NPI:1326284605
Name:FLORY OPTOMETRY, PA
Entity Type:Organization
Organization Name:FLORY OPTOMETRY, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:FLORY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:785-749-1010
Mailing Address - Street 1:3300 BOB BILLINGS PKWY
Mailing Address - Street 2:SUITE 9
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66049-2926
Mailing Address - Country:US
Mailing Address - Phone:785-749-1010
Mailing Address - Fax:785-749-4441
Practice Address - Street 1:3300 BOB BILLINGS PKWY
Practice Address - Street 2:SUITE 9
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66049-2926
Practice Address - Country:US
Practice Address - Phone:785-749-1010
Practice Address - Fax:785-749-4441
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-17
Last Update Date:2009-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1236-3152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS24966011OtherBLUE CROSS AND BLUE SHIELD OF KANSAS CITY
KS410014570OtherRAILROAD MEDICARE
KST67614OtherHEALTHNET
KS100218740BOtherCHILDREN'S MERCY
KS022437OtherBLUE CROSS AND BLUE SHIELD OF KANSAS
KS7417OtherCOVENTRY
KS100218740BMedicaid
KS6200180001Medicare NSC
KS100218740BMedicaid
KS100218740BOtherCHILDREN'S MERCY