NPI 1891757704 · live from the CMS NPI Registry
Stephen T Cauble, OD
Optometrist in Dodge City, KS. National Provider Identifier 1891757704, active.
NPI record
| NPI | 1891757704 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 2405 Central Ave, Dodge City, KS 67801 |
| Practice phone | 620-227-2471 |
| Mailing address | 1000 S 169 Hwy, Smithville, MO 64089 |
| Enumerated | April 5, 2006 |
| Last updated | December 5, 2016 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist | 152W00000X | 1116-2 (KS) |
| Optometrist primary | 152W00000X | 1116-3 (KS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.