Provider Demographics
NPI:1851532378
Name:TRAN MAJHER AND SHAW O.D. P.A.
Entity Type:Organization
Organization Name:TRAN MAJHER AND SHAW O.D. P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BRAD
Authorized Official - Middle Name:DOUGLAS
Authorized Official - Last Name:MAJHER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:316-686-6063
Mailing Address - Street 1:2251 N WOODLAWN BLVD
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67220-3947
Mailing Address - Country:US
Mailing Address - Phone:316-686-6063
Mailing Address - Fax:316-686-4214
Practice Address - Street 1:2508 EDGEMONT DR STE 6
Practice Address - Street 2:
Practice Address - City:ARKANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:67005-3844
Practice Address - Country:US
Practice Address - Phone:620-442-2577
Practice Address - Fax:620-442-2578
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TRAN MAJHER AND SHAW O.D. P.A.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-03-12
Last Update Date:2009-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1600152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty