NPI 1184724296 · live from the CMS NPI Registry
Leslie Coffee Gallagher, O.D.
Optometrist in Holton, KS. National Provider Identifier 1184724296, active.
NPI record
| NPI | 1184724296 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 121 W 4th St, Holton, KS 66436 |
| Practice phone | 785-364-5000 |
| Enumerated | September 25, 2006 |
| Last updated | October 17, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | KS1648 (KS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.