Chelsey Marie Kunkler, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT.007135 Issued in OH

Practice address

570 E Kremer Hoying Rd
Saint Henry, OH 45883-7600

Phone

(419) 678-8800

NPI assigned

Jan 25, 2023

Last updated

Jan 5, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Optometry

Education

Ohio State University - College of Optometry, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aeg Ohio Professional PCGroup PAC ID 7618207036, 80 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Aeg Ohio Professional PC

  • Optometrist
  • Solon, OH
  • NPI 1154980811
  Medicare reassignment Care Compare group NPD
• Aeg Ohio Professional PC

  dba Harper's Point

  • Optometrist
  • Cincinnati, OH
  • NPI 1932708047
  NPD

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

{
    "created_epoch": "1674604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1225744915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 W PEARL ST",
            "city": "NEW BREMEN",
            "state": "OH",
            "postal_code": "458691342",
            "telephone_number": "567-644-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 E KREMER HOYING RD",
            "city": "SAINT HENRY",
            "state": "OH",
            "postal_code": "458837600",
            "telephone_number": "419-678-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNKLER",
        "first_name": "CHELSEY",
        "middle_name": "MARIE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-25",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.007135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CKunkler@FISHBAUGHFAMILYEYECARE.emadirect.md",
            "affiliation": "N",
            "address_1": "570 E Kremer Hoying Rd",
            "city": "Saint Henry",
            "state": "OH",
            "country_code": "US",
            "postal_code": "458837600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Deborah Jo Goettemoeller, RN BSN
• Linda Goettemoeller
• Healthcare Ventures of Ohio, LLC (The Gardens At Saint Henry)
• Brian Michael Killian, ATC
• Ashlyn Kremer, PA
• Grace Lange
• Jane Kathryn Laux
• Megan Lefeld
• Michelle Evelyn Luthman
• Majestic Care of St Henry LLC

• Optometrist in Saint Henry, OH
• Providers in Saint Henry, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.