Basic Information
| Provider Information | |||||||||
| NPI: | 1881761377 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MARSH | ||||||||
| FirstName: | EMILY | ||||||||
| MiddleName: | GREER | ||||||||
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| Credential: | OD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2521 N BROADWAY ST | ||||||||
| Address2: | |||||||||
| City: | PITTSBURG | ||||||||
| State: | KS | ||||||||
| PostalCode: | 667622620 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6202351737 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 2521 N BROADWAY ST | ||||||||
| Address2: | |||||||||
| City: | PITTSBURG | ||||||||
| State: | KS | ||||||||
| PostalCode: | 667622620 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6202351737 | ||||||||
| FaxNumber: | 6202300358 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/29/2006 | ||||||||
| LastUpdateDate: | 01/19/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 01/19/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 152W00000X | OPT11922TPA | CA | N | Eye and Vision Services Providers | Optometrist | 152W00000X | 2150 | KS | Y | Eye and Vision Services Providers | Optometrist |
No ID Information.