Provider Demographics
NPI:1821079294
Name:OSTMEYER, BRIDGETTE ANNE (OD)
Entity Type:Individual
Prefix:DR
First Name:BRIDGETTE
Middle Name:ANNE
Last Name:OSTMEYER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2800 SW WANAMAKER RD
Mailing Address - Street 2:SUITE 192
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66614-4293
Mailing Address - Country:US
Mailing Address - Phone:785-272-0707
Mailing Address - Fax:785-271-1512
Practice Address - Street 1:4745 NW HUNTERS RIDGE CIR
Practice Address - Street 2:STE B
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66618-2538
Practice Address - Country:US
Practice Address - Phone:785-246-3937
Practice Address - Fax:785-246-0527
Is Sole Proprietor?:No
Enumeration Date:2005-11-10
Last Update Date:2010-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSKS-1490-3152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
651058OtherBCBS
KS222929OtherCOLE VISION
KS480950OtherFIRSTGUARD
KS100275260DMedicaid
651021OtherBCBS
651047OtherBCBS
651058OtherBCBS
651021OtherBCBS
KSU63545Medicare UPIN
KS651047Medicare PIN