KEITH A. MALLATT OD


Address: 301 N Broadway St, Pittsburg, KS 66762-4806
Phone: 6202311720

KEITH A. MALLATT OD (NPI# 1831379163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831379163
Entity Type Organization
Organization Name KEITH A. MALLATT OD
Practice Address 301 N Broadway St
Pittsburg
KS 66762-4806
Practice Telephone 6202311720
Practice Fax Number 6202311727
Mailing Telephone 6202311720
Mailing Fax Number 6202311727
Enumeration Date 2007-11-03
Last Update Date 2010-04-20
Authorized Official Name DR. KEITH ALLEN MALLATT (OWNER)
Authorized Official Telephone 6202311720
Authorized Official Credential O.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332H00000X Eyewear Supplier (Equipment, not the service) KS 1173-2 KS Suppliers

Office Location

Street Address 301 N BROADWAY ST
City PITTSBURG
State KS
Zip Code 66762-4806

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386746857 Keith Allen Mallatt Optometrist 301 N Broadway St, Pittsburg, KS 66762-4806 2006-09-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578172250 Mallory Kate Revell Student in an Organized Health Care Education/Training Program 1701 S Broadway S, Irene Ransom Bradley School of Nursing, Psu, Pittsburg, KS 66762 2020-07-28
1245849967 Shelbie Cosby Student in an Organized Health Care Education/Training Program 1701 S. Broadway St, Irene Ransom Bradley School of Nursing, Pittsburg, KS 66762 2020-07-28
1679103642 Jessica Crager Nurse Practitioner 2401 S Tucker Terr, Ste 1, Pittsburg, KS 66762 2020-01-18
1376198226 Apollo Services Inc Durable Medical Equipment & Medical Supplies 2505 S Springdale, Pittsburg, KS 66762 2019-08-07
1851885719 Chelsea Duncan Social Worker 911 E Centennial, Pittsburg, KS 66762 2018-06-14
1902395858 Alexandria Winter Specialist/Technologist 1701 S Homer Street, Pittsburg, KS 66762 2018-05-07
1811419633 Troy Richard Quenzer Specialist/Technologist 1701 S Homer St, 213 Weede Phys Ed Bldg, Pittsburg, KS 66762 2017-07-13
1356727002 John Klodt Social Worker 902 E Centennial Dr Apt 13a, Pittsburg, KS 66762 2015-08-05
1295120533 Christine E. Conner Nurse Practitioner 1 Mt. Carmel Way, 2nd Floor, East, Pittsburg, KS 66762 2015-04-03
1700278983 Performance Spine & Sport LLC Chiropractor 2597 S. Broadway Suite A, Pittsburg, KS 66762 2015-02-25
Find all providers in zip 66762

Taxonomy Information

Taxonomy Code 332H00000X
Grouping Suppliers
Classification Eyewear Supplier (Equipment, not the service)

Taxonomy Definition

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548801335 Jand. Inc. Eyewear Supplier (Equipment, not the service) 100 Ross Park Mall Dr, Suite A07a, Pittsburg, PA 15237 2019-10-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1821630187 Eyemart Express LLC Eyewear Supplier (Equipment, not the service) 2540 Iowa St Ste K, Lawrence, KS 66046-5754 2019-10-08
1225595408 Customeyes LLC Eyewear Supplier (Equipment, not the service) 1861 N Rock Rd Ste 214, Wichita, KS 67206-1264 2019-02-25
1598233652 Svs Vision Inc Eyewear Supplier (Equipment, not the service) 6635 W 135th St, Overland Park, KS 66223-7898 2018-11-07
1699256271 Eyemart Express LLC Eyewear Supplier (Equipment, not the service) 10231 W 21st St N # N107, Wichita, KS 67205-1832 2018-08-22
1821443250 Visionworks Inc. Eyewear Supplier (Equipment, not the service) 1703 Village West Parkway, Suite 104, Kansas City, KS 66111-0000 2016-05-04
1982078085 Eyemart Express LLC Eyewear Supplier (Equipment, not the service) 15206 W 119th St, Suite A, Olathe, KS 66062-5604 2015-11-30
1164819843 Usv Optical Inc. Eyewear Supplier (Equipment, not the service) 330 Kansas Ave, Bldg. 700, Fort Leavenworth, KS 66027-1139 2015-04-21
1639437791 Sunland Optical Co., Inc. Eyewear Supplier (Equipment, not the service) 330 Kansas Ave Bldg 700, Fort Leavenworth, KS 66027-1139 2012-04-26
1437439148 Eyewear Junction LLC Eyewear Supplier (Equipment, not the service) 710 N Washington St, Junction City, KS 66441-2922 2011-08-25
1659501898 Meadows-bell Opticians LLC Eyewear Supplier (Equipment, not the service) 8838 W 95th St, Overland Park, KS 66212-4051 2009-07-22
Find all providers with the same taxonomy

Competitor

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City PITTSBURG
Zip Code 66762

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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