NPI 1376141549 · live from the CMS NPI Registry
Cassandra Bramhall-Dvorak, OD
Optometrist in Marysville, KS. National Provider Identifier 1376141549, active.
NPI record
| NPI | 1376141549 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 1300 Broadway, Marysville, KS 66508 |
| Practice phone | 785-562-5111 |
| Mailing address | Po Box 207293, Dallas, TX 75320 |
| Enumerated | October 11, 2020 |
| Last updated | October 6, 2021 |
| Sole proprietor | Yes |
| Other names | Cassandra Dvorak |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | 2137 (KS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.