Gary L. Beaver, O.D.

Optometrist · Independence, KS

Individual Active NPI

NPI number 1003908237

Practice location

300 W Laurel St
Independence, KS 67301-3315
Phone
(620) 331-2112
Fax
(620) 331-2147

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NPI record

NPI
1003908237
Entity type
Individual (Type 1)
Enumeration date
September 28, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X 1294-3 KS

Mailing address

PO Box 47
Independence, KS 67301-0047
Phone
(620) 331-2112
Fax
(620) 331-2147

About Dr. Beaver

Gary L. Beaver, O.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 300 W Laurel St, Independence, KS 67301-3315. The NPI number 1003908237 was assigned on September 28, 2006 and the record was last updated on July 8, 2007.

Dr. Beaver lists a license in the registry: #1294-3 (KS) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Gary L. Beaver, O.D.?

The NPI number is 1003908237.

What is the phone number of Dr. Beaver?

The phone number listed for the practice location is (620) 331-2112.

Where is Dr. Beaver located?

300 W Laurel St, Independence, KS 67301-3315.

What is the taxonomy code for Dr. Beaver?

The primary taxonomy code is 152W00000X – Optometrist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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