Wesley R Clark, OD & Nicole L Meerpohl, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1556 Issued in KS

Legal business name

WESLEY R CLARK, OD & NICOLE L MEERPOHL, OD

Practice address

111 W 4TH St
Holton, KS 66436-1701

Phone

(785) 364-4183

Fax

(785) 364-2088

NPI assigned

Jan 10, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Sharon J Bowser

Title

Office Manager

Phone

(785) 364-4183

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 1

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

• Nicole L Meerpohl, OD

  • Optometrist
  • Holton, KS
  • NPI 1780690529
  NPD (past)

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219795200000",
    "number": "1265581771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W 4TH ST",
            "city": "HOLTON",
            "state": "KS",
            "postal_code": "664361701",
            "telephone_number": "785-364-4183",
            "fax_number": "785-364-2088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W 4TH ST",
            "city": "HOLTON",
            "state": "KS",
            "postal_code": "664361701",
            "telephone_number": "785-364-4183",
            "fax_number": "785-364-2088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESLEY R CLARK, OD & NICOLE L MEERPOHL, OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2008-08-27",
        "status": "A",
        "authorized_official_last_name": "BOWSER",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "785-364-4183",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1556",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1146-3",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100642910A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vintage Park at Holton, LLC
• Walmart Inc.
• Malia SM Warner, MD
• Phillip John Wassenberg, PT
• Kristi Watkins, BSN
• Barbara Wheeler, CPTA
• Sarah Wrench, OT
• Jerry E Young, D.D.S.
• Nancy J Zidek, M.D.
• Kaylie D'Ann Zimmerman, APRN-MSN

• Optometrist in Holton, KS
• Providers in Holton, KS by specialty
• Optometrist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.

Verify at the official NPI Registry.