310 E WALNUT ST SUITE 101
GARDEN CITY, KS 67846-5560 US PECOS Enrolled
Overview
Luther L Fry is a Ophthalmologist in the GARDEN CITY area and has over 57 years of experience. Luther L Fry primary office location is at 310 E WALNUT ST and new patients are welcome to contact this healthcare provider for an appointment. He attended University Of Kansas School Of Med (kc/wich/sal) and graduated 1967 The NPI number is 1205858776 and the information was updated approximately 17 years ago.
Luther L Fry is affiliated with one medical group in the GARDEN CITY area, FRY EYE ASSOCIATES PA.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 13952 | KS |
| Board Certifications |
|---|
| Ophthalmology |
| Type/Issuer | Identifier | State |
|---|---|---|
| MEDICAID | 100082380A | KS |
| MEDICAID | 100192960A | OK |
| MEDICAID | 91139527 | CO |
| Taxonomy | State | Primary? |
|---|---|---|
| Ophthalmologist - Taxonomy Code 207W00000X | KS | Y |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20050502000392 |
| PECOS Individual PAC ID: | 6709797871 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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