Organization Active NPI

Kater Optometric Services LLC

  • Low Vision Rehabilitation Optometrist
  • Wichita, KS
National Provider Identifier
1194910869
Registry record updated Sep 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Low Vision Rehabilitation OptometristTaxonomy code 152WL0500X
License
1239-2 Issued in KS
Legal business name
KATER OPTOMETRIC SERVICES LLC
Practice address
1211 W Maple
Suite 125
Wichita, KS 67235-8756
Phone
(316) 832-0026
Fax
(316) 832-0029
NPI assigned
Sep 6, 2007
Last updated
Sep 9, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2010

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

Authorized official

Name
Ms. Amy Boden
Title
Office Manager
Phone
(316) 832-0026

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 1239-2 KS
Low Vision Rehabilitation Optometrist 152WL0500X 1239-2 KS Primary
Pediatric Optometrist 152WP0200X 1239-2 KS
Sports Vision Optometrist 152WS0006X 1239-2 KS
Vision Therapy Optometrist 152WV0400X 1239-2 KS
Occupational Vision Optometrist 152WX0102X 1239-2 KS

Addresses

Primary practice location

1211 W Maple
Suite 125
Wichita, KS 67235-8756

Mailing address

12111 W Maple St
Suite 125
Wichita, KS 67235-8755
Phone (316) 832-0026

Other identifiers 1

IdentifierTypeStateIssuer
651176OtherKSBCBS LEGACY NUMBER

National Provider Directory

National Provider Directory

Locations

1211 W Maple St
Ste 125
Wichita, KS 67213
Phone (316) 832-0026

12111 W Maple St
Ste 125
Wichita, KS 67235
Phone (316) 832-0088

NPI Registry JSON

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283990400000",
    "number": "1194910869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12111 W MAPLE ST",
            "address_2": "SUITE 125",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672358755",
            "telephone_number": "316-832-0026",
            "fax_number": "316-832-0029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 W MAPLE",
            "address_2": "SUITE 125",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672358756",
            "telephone_number": "316-832-0026",
            "fax_number": "316-832-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATER OPTOMETRIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2010-09-09",
        "status": "A",
        "authorized_official_last_name": "BODEN",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "316-832-0026",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "KS",
            "license": "1239-2",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "KS",
            "license": "1239-2",
            "primary": true
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "KS",
            "license": "1239-2",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "KS",
            "license": "1239-2",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "KS",
            "license": "1239-2",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "KS",
            "license": "1239-2",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS LEGACY NUMBER",
            "identifier": "651176",
            "state": "KS"
        }
    ],
    "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 Sep 9, 2010; 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.