Active NPI
New Vision Optometry, P.a.
- Optometrist
- Wichita, KS
National Provider Identifier
1114103355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1743
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Optometrist
- Wichita, KS
- NPI 1487715058
-
- Optometrist
- Salina, KS
- NPI 1154406478
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.