Active NPI
Paul J Niegsch, O.D.
- Optometrist
- Pittsburg, KS
National Provider Identifier
1245229848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1242-3
- Practice address
- 101 N Broadway St
Ste #a
Pittsburg, KS 66762-4804 - Phone
- (620) 232-3277
- Fax
- (620) 231-6680
- NPI assigned
- Oct 17, 2005
- Last updated
- Apr 16, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1242-3 | KS | Primary |
Addresses
Primary practice location
101 N Broadway St
Ste #a
Pittsburg, KS 66762-4804
Mailing address
PO Box 186
Pittsburg, KS 66762-0186
Phone (620) 232-3277
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 618650 | Other | KS | FIRST GUARD |
| 60110 | Other | KS | PREFERRED HEALTH SYSTEMS |
| 4740220001 | Other | KS | CIGNA |
| 650906 | Other | KS | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
Organizations & group practices 1
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.
-
- Optometrist
- Pittsburg, KS
- NPI 1306865282
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208304000000",
"number": "1245229848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 186",
"city": "PITTSBURG",
"state": "KS",
"postal_code": "667620186",
"telephone_number": "620-232-3277",
"fax_number": "620-231-6680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 N BROADWAY ST",
"address_2": "STE #A",
"city": "PITTSBURG",
"state": "KS",
"postal_code": "667624804",
"telephone_number": "620-232-3277",
"fax_number": "620-231-6680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIEGSCH",
"first_name": "PAUL",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-17",
"last_updated": "2008-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "KS",
"license": "1242-3",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST GUARD",
"identifier": "618650",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED HEALTH SYSTEMS",
"identifier": "60110",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "4740220001",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "650906",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburg, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.