Organization Active NPI

Western Kansas Low Vision Associates PA

  • Low Vision Rehabilitation Optometrist
  • Garden City, KS
National Provider Identifier
1114940160
Registry record updated Mar 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Low Vision Rehabilitation OptometristTaxonomy code 152WL0500X
Legal business name
WESTERN KANSAS LOW VISION ASSOCIATES PA
Practice address
310 E Walnut St
Garden City, KS 67846-5560
Phone
(620) 275-4938
Fax
(620) 275-5262
NPI assigned
Jul 25, 2006
Last updated
Mar 12, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2015

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

Authorized official

Name
Teresa M Guerrero
Title
Business Office Supervisor
Phone
(620) 275-4938

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Low Vision Rehabilitation Optometrist 152WL0500X NU Primary

Addresses

Primary practice location

310 E Walnut St
Garden City, KS 67846-5560

Mailing address

PO Box 2671
Garden City, KS 67846-8671
Phone (620) 275-4938

Other identifiers 1

IdentifierTypeStateIssuer
100398420AMedicaidKS

National Provider Directory

National Provider Directory

Locations

502 College Dr
Garden City, KS 67846
Phone (316) 275-7248

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426118400000",
    "number": "1114940160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2671",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678468671",
            "telephone_number": "620-275-4938",
            "fax_number": "620-275-5262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 E WALNUT ST",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678465560",
            "telephone_number": "620-275-4938",
            "fax_number": "620-275-5262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN KANSAS LOW VISION ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2015-03-12",
        "status": "A",
        "authorized_official_last_name": "GUERRERO",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BUSINESS OFFICE SUPERVISOR",
        "authorized_official_telephone_number": "620-275-4938"
    },
    "taxonomies": [
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100398420A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.