Provider Demographics
NPI:1497823538
Name:DRS JOYCE & HURSH, LLC
Entity Type:Organization
Organization Name:DRS JOYCE & HURSH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:JOYCE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:316-321-4020
Mailing Address - Street 1:201 N VINE ST
Mailing Address - Street 2:
Mailing Address - City:EL DORADO
Mailing Address - State:KS
Mailing Address - Zip Code:67042-2055
Mailing Address - Country:US
Mailing Address - Phone:316-321-4020
Mailing Address - Fax:316-321-0115
Practice Address - Street 1:201 N VINE ST
Practice Address - Street 2:
Practice Address - City:EL DORADO
Practice Address - State:KS
Practice Address - Zip Code:67042-2055
Practice Address - Country:US
Practice Address - Phone:316-321-4020
Practice Address - Fax:316-321-0115
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-30
Last Update Date:2016-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSKS1112-3152W00000X
KSKS1817152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSDF9667OtherRAILROAD MEDICARE
KS100218510AMedicaid
KS100090710AMedicaid
KS100218460AMedicaid
KS17062001OtherMEDICARE PTAN
KS17062001OtherMEDICARE PTAN
KS100218460AMedicaid
KS0403370001Medicare NSC
KS100090710AMedicaid
KST44079Medicare UPIN