Provider Demographics
NPI:1699940437
Name:PATRICIA A. DORSEY, O.D., P.A.
Entity type:Organization
Organization Name:PATRICIA A. DORSEY, O.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:DORSEY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:620-342-6282
Mailing Address - Street 1:827 COMMERCIAL ST
Mailing Address - Street 2:
Mailing Address - City:EMPORIA
Mailing Address - State:KS
Mailing Address - Zip Code:66801-2914
Mailing Address - Country:US
Mailing Address - Phone:620-342-6282
Mailing Address - Fax:620-342-5098
Practice Address - Street 1:827 COMMERCIAL ST
Practice Address - Street 2:
Practice Address - City:EMPORIA
Practice Address - State:KS
Practice Address - Zip Code:66801-2914
Practice Address - Country:US
Practice Address - Phone:620-342-6282
Practice Address - Fax:620-342-5098
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-23
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1278-3152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS0248130001Medicare NSC
KS017097Medicare PIN
KST44084Medicare UPIN