Organization Active NPI

New Vision Optometry, P.a.

  • Optometrist
  • Wichita, KS
National Provider Identifier
1114103355
Registry record updated Oct 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1743 Issued in KS
Legal business name
NEW VISION OPTOMETRY, P.A.
Practice address
8113 E Kellogg Dr
#500
Wichita, KS 67207-1838
Phone
(316) 688-0973
Fax
(316) 685-5147
NPI assigned
Jan 17, 2008
Last updated
Oct 19, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2011

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

Authorized official

Name
Dr. Jeremy L Guenthner, O.D.NPI 1487715058
Title
President
Phone
(316) 688-0973

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
Optometrist 152W00000X 1743 KS Primary

Addresses

Primary practice location

8113 E Kellogg Dr
#500
Wichita, KS 67207-1838

Mailing address

8113 E Kellogg Dr
#500
Wichita, KS 67207-1838
Phone (316) 688-0973

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100428000084 KS Part B Supplier - Clinic/Group Practice 6709913593 Receives reassigned benefits from 2 practitioners
Practice locations: Wichita, KS

National Provider Directory

National Provider Directory

Locations

2441 N Maize Rd
Wichita, KS 67205
Phone (316) 688-0973

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1200528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318982400000",
    "number": "1114103355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8113 E KELLOGG DR",
            "address_2": "#500",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672071838",
            "telephone_number": "316-688-0973",
            "fax_number": "316-685-5147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8113 E KELLOGG DR",
            "address_2": "#500",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672071838",
            "telephone_number": "316-688-0973",
            "fax_number": "316-685-5147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW VISION OPTOMETRY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-17",
        "last_updated": "2011-10-19",
        "status": "A",
        "authorized_official_last_name": "GUENTHNER",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "316-688-0973",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1743",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 19, 2011; 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.