Provider Demographics
NPI:1689737637
Name:DRS HAWKS, BESLER AND ROGERS
Entity Type:Organization
Organization Name:DRS HAWKS, BESLER AND ROGERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTI
Authorized Official - Middle Name:M
Authorized Official - Last Name:FORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-341-4508
Mailing Address - Street 1:5703 W 95TH ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66207-2919
Mailing Address - Country:US
Mailing Address - Phone:913-341-4508
Mailing Address - Fax:913-341-4570
Practice Address - Street 1:315 E MAIN ST
Practice Address - Street 2:
Practice Address - City:GARDNER
Practice Address - State:KS
Practice Address - Zip Code:66030-1313
Practice Address - Country:US
Practice Address - Phone:913-856-6360
Practice Address - Fax:913-856-4120
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1055-3152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS4840000Medicare ID - Type UnspecifiedGROUP NUMBER