AXTELL CLINIC PA NPI 1699136358

NPI Information

  • NPI: 1699136358
  • Provider Name: AXTELL CLINIC PA
  • Classification: Eyewear Supplier - 332H00000X
  • Entity Type: Organization
  • CLIA Number: 17D0451152
  • Address: 1715 MEDICAL PARKWAY
    SUITE 110B
    NEWTON, KS
    ZIP 67114
  • Phone: (316) 283-2800

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NPI Details

AXTELL CLINIC PA is an eyewear supplier in Newton, KS. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. AXTELL CLINIC PA NPI is 1699136358. The provider is registered as an organization entity type.

The provider's business location address is:

1715 MEDICAL PARKWAY
SUITE 110B
NEWTON, KS
ZIP 67114-013
Phone: (316) 283-2800

The provider's authorized official is Mandy L Hiner .
The authorized official title is Administrator and has the following contact phone number (316) 283-2800.

The CLIA number assigned to this NPI record is 17D0451152 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/9/2016 and was last updated on 7/21/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332H00000XEyewear SupplierYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10562380002MEDICARE NSCKANSAS
2003785MEDICARE PINKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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