Provider Demographics
NPI:1104072784
Name:HANSCHU, AMBER M (OD)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:M
Last Name:HANSCHU
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3630 SW FAIRLAWN RD
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66614-3966
Mailing Address - Country:US
Mailing Address - Phone:785-273-8080
Mailing Address - Fax:785-273-2583
Practice Address - Street 1:3630 SW FAIRLAWN RD
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66614-3966
Practice Address - Country:US
Practice Address - Phone:785-273-8080
Practice Address - Fax:785-273-2583
Is Sole Proprietor?:No
Enumeration Date:2008-08-14
Last Update Date:2008-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1808152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist