IndividualActive
Bryan Banuelos
NPI 1144001579 · Ophthalmic Technician/Technologist · Wichita, KS
Provider details
- NPI number
- 1144001579
- Entity type
- Individual
- Primary specialty
- Ophthalmic Technician/TechnologistEye and Vision Services Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 276840
Practice location
949 S Glendale St
Wichita, KS 67218-3210
Phone: (316) 685-2221
Fax: (316) 239-2747
Mailing address
237 W Hunter St
Derby, KS 67037-4105
Registry dates
- Enumerated
- 2023-10-11
- Last updated
- 2023-10-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.