Individual provider Active NPI

Lois Ann Vierthaler Kessen, O.D.

  • Optometrist
  • Dodge City, KS
National Provider Identifier
1144339128
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1378-3 Issued in KS
Practice address
208 W Ross Blvd
Suite a
Dodge City, KS 67801
Phone
(620) 225-6500
Fax
(620) 225-6597
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1378-3 KS Primary

Addresses

Primary practice location

208 W Ross Blvd
Suite a
Dodge City, KS 67801

Mailing address

208 W Ross Blvd
Dodge City, KS 67801-2133
Phone (620) 225-6500

Other identifiers 1

IdentifierTypeStateIssuer
650985OtherKSBLUE CROSS/BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050510000366 KS Practitioner - Optometry 3274573290 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

208 W Ross Blvd
Suite a
Dodge City, KS 67801-2110
Phone (620) 225-6500

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery50

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1378-3KSMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vierthaler Kessen Optometry, LLC Optometrist CurrentSince Oct 1, 2019 Accepting new patients
Frazier Optometry, PA Optometrist Past Accepting new patients

Locations

208 W Ross Blvd
Ste A
Dodge City, KS 67801
Phone (620) 225-6500

208 W Ross Blvd
Dodge City, KS 67801

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1144339128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 W ROSS BLVD",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678012133",
            "telephone_number": "620-225-6500",
            "fax_number": "620-225-6597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 W ROSS BLVD",
            "address_2": "SUITE A",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "67801",
            "telephone_number": "620-225-6500",
            "fax_number": "620-225-6597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIERTHALER KESSEN",
        "first_name": "LOIS",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1378-3",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "650985",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dodge City, KS

Sources for this page

Verify at the official NPI Registry.