Sam William Odle, O.D Valid NPI

Individual provider · Optometrist · Manhattan, KS

NPI

1053392936

Type

Individual (Type 1)

Primary specialty

Optometrist

Specialty group

Eye and Vision Services Providers

Taxonomy code

152W00000X

License number

KS-1199-2 (KS)

Sex

Male

Sole proprietor

No

Enumerated

2005-11-08

Last updated

2010-06-25