Julie K. Kueker, O.D., P.a.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046-009624 Issued in IL

Legal business name

JULIE K. KUEKER, O.D., P.A.

Practice address

1870 W Main St
Salem, IL 62881-5838

Phone

(618) 548-6590

NPI assigned

Oct 7, 2006

Last updated

May 23, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Julie K. Kueker, O.D.NPI 1437185253

Title

Owner/Optometrist

Phone

(618) 654-1704

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

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.

• Julie K Kueker, O.D.

  • Optometrist
  • Salem, IL
  • NPI 1437185253
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1160179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211500800000",
    "number": "1174610372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11901 WESTWOOD LN",
            "city": "HIGHLAND",
            "state": "IL",
            "postal_code": "622493863",
            "telephone_number": "618-654-1704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1870 W MAIN ST",
            "city": "SALEM",
            "state": "IL",
            "postal_code": "628815838",
            "telephone_number": "618-548-6590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIE K. KUEKER, O.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-07",
        "last_updated": "2008-05-23",
        "status": "A",
        "authorized_official_last_name": "KUEKER",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "618-654-1704",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-009624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gautam Jha, MD
• Hayden Johnson, RBT
• Paige Elizabeth Johnson
• Stella C Johnson, FNP-C
• Olivia Renee Jones
• Jeffrey Brent Kessler, M.D.
• Ashley Kircher
• Knevitt Inc (Air & Medical Emergency Services)
• Melissa J Kohnen, CPNP-PC
• Heather Krajefska, CCC-SLP

• Optometrist in Salem, IL
• Providers in Salem, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2008; 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.