Sam William Odle, O.D

Optometrist · Manhattan, KS

Individual Active NPI

NPI number 1053392936

Practice location

3012 Anderson Ave
Manhattan, KS 66503-2809
Phone
(785) 537-1118
Fax
(785) 537-8005

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NPI record

NPI
1053392936
Entity type
Individual (Type 1)
Enumeration date
November 8, 2005
Last updated
June 25, 2010
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X KS-1199-2 KS

Mailing address

2800 SW Wanamaker Rd
Suite 192
Topeka, KS 66614-4293
Phone
(785) 272-0707
Fax
(785) 271-1512

About Dr. Odle

Sam William Odle, O.D is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 3012 Anderson Ave, Manhattan, KS 66503-2809. The NPI number 1053392936 was assigned on November 8, 2005 and the record was last updated on June 25, 2010.

Dr. Odle lists a license in the registry: #KS-1199-2 (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 Sam William Odle, O.D?

The NPI number is 1053392936.

What is the phone number of Dr. Odle?

The phone number listed for the practice location is (785) 537-1118.

Where is Dr. Odle located?

3012 Anderson Ave, Manhattan, KS 66503-2809.

What is the taxonomy code for Dr. Odle?

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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