Provider Demographics
NPI:1780679167
Name:FLORY, STEVEN JAY (OD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:JAY
Last Name:FLORY
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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
Is Sole Proprietor?:No
Enumeration Date:2005-09-13
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS12362152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
T67614OtherHEALTHNET
KS7417OtherCOVENTRY
522271OtherADVANTRA FREEDOM MEDICARE
KS022437OtherBCBS
KS24966011OtherBCBS KANSAS CITY
463060OtherCHILDRENS MERCY
463060OtherCHILDRENS MERCY
KS022437Medicare ID - Type Unspecified
KS7417OtherCOVENTRY
KS0441560001Medicare NSC
KS022437OtherBCBS