Provider Demographics
NPI:1649251596
Name:HORSCH, BRIAN JOSEPH (OD)
Entity type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:JOSEPH
Last Name:HORSCH
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2800 SW WANAMAKER RD
Mailing Address - Street 2:SUITE 192
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66614-4293
Mailing Address - Country:US
Mailing Address - Phone:785-272-0707
Mailing Address - Fax:785-272-0575
Practice Address - Street 1:2800 SW WANAMAKER RD
Practice Address - Street 2:SUITE 192
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66614-4293
Practice Address - Country:US
Practice Address - Phone:785-272-0707
Practice Address - Fax:785-272-0575
Is Sole Proprietor?:No
Enumeration Date:2005-11-08
Last Update Date:2008-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSKS-1221-3152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS650843OtherBLUE CROSS AND BLUE SHEIL
KS100218180DMedicaid
KSP00475924OtherMEDICARE RAILROAD
KS410047517OtherMEDICARE RAILROAD
KSP00475924OtherMEDICARE RAILROAD
KS410047517OtherMEDICARE RAILROAD