Organization Active NPI

Runyon Optometry, P.a.

  • Optometrist
  • Wichita, KS
National Provider Identifier
1043401987
Registry record updated Sep 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
KS1560 Issued in KS
Legal business name
RUNYON OPTOMETRY, P.A.
Practice address
2020 N Woodlawn St
Ste 390
Wichita, KS 67208-1883
Phone
(316) 682-9891
NPI assigned
Aug 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Wendy Runyon Foster, O.D.NPI 1043207236
Title
Owner/President
Phone
(316) 682-9891

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X KS1560 KS Primary

Addresses

Primary practice location

2020 N Woodlawn St
Ste 390
Wichita, KS 67208-1883

Mailing address

2020 N Woodlawn
Ste 390
Wichita, KS 67208-1883
Phone (316) 682-9891

Other identifiers 1

IdentifierTypeStateIssuer
100317350BMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041104000896 KS Part B Supplier - Clinic/Group Practice 3375506959 Receives reassigned benefits from 2 practitioners
Practice locations: Wichita, KS

National Provider Directory

National Provider Directory

Locations

2020 N Woodlawn St
Ste 390
Wichita, KS 67208
Phone (316) 682-9891

2020 N Woodlawn St
Wichita, KS 67208

7700 E Kellogg Dr
#703
Wichita, KS 67207
Phone (316) 682-9891

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348099200000",
    "number": "1043401987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 N WOODLAWN",
            "address_2": "STE 390",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672081883",
            "telephone_number": "316-682-9891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 N WOODLAWN ST",
            "address_2": "STE 390",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672081883",
            "telephone_number": "316-682-9891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUNYON OPTOMETRY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-06",
        "last_updated": "2012-09-20",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "RUNYON",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "316-682-9891",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "KS",
            "license": "KS1560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100317350B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.