Vierthaler Kessen Optometry, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1378-3 Issued in KS

Legal business name

VIERTHALER KESSEN OPTOMETRY, LLC

Practice address

208 W Ross Blvd
Suite a
Dodge City, KS 67801

Phone

(620) 225-6500

Fax

(620) 225-6597

NPI assigned

Apr 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Lois Ann Vierthaler Kessen, O.D.NPI 1144339128

Title

Owner

Phone

(620) 225-6500

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lois Ann Vierthaler Kessen, O.D.

  • Optometrist
  • Dodge City, KS
  • NPI 1144339128
  Medicare reassignment NPD Authorized official
• Jeremie Eldon Frazier, O.D.

  • Optometrist
  • Kinsley, KS
  • NPI 1710179726
  NPD (past)

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666742400000",
    "number": "1235359555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": {
        "organization_name": "VIERTHALER KESSEN OPTOMETRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-27",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A",
        "authorized_official_last_name": "VIERTHALER KESSEN",
        "authorized_official_first_name": "LOIS",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "620-225-6500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1378-3",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "065080",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Jaiden Vela
• Lois Ann Vierthaler Kessen, O.D.
• Yamilet Villagrana Fraire
• Raymundo Villanueva, MD
• Vine Counseling and Consulting, LLC
• Vogler Counseling & Consulting Services, Inc.

• Optometrist in Dodge City, KS
• Providers in Dodge City, KS by specialty
• Optometrist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; 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.