NPI 1457026122 · live from the CMS NPI Registry
Julie Ann Bricker, OD
Optometrist in Wichita, KS. National Provider Identifier 1457026122, active.
NPI record
| NPI | 1457026122 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 931 S Glendale Street, Wichita, KS 67218 |
| Practice phone | 316-685-2221 |
| Mailing address | Po Box 207293, Dallas Tx 75320, Dallas, TX 75320 |
| Enumerated | August 13, 2021 |
| Last updated | August 26, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | 2143 (KS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.