Individual provider Active NPI

George John Kuchenreuther, O.D.

  • Optometrist
  • Raleigh, NC
National Provider Identifier
1275504532
Registry record updated Nov 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1296 Issued in NC
Practice address
8311 Bandford Way
Suite 105
Raleigh, NC 27615-2756
Phone
(919) 870-1880
Fax
(919) 847-4509
NPI assigned
Jan 26, 2006
Last updated
Nov 13, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1296 NC Primary

Addresses

Primary practice location

8311 Bandford Way
Suite 105
Raleigh, NC 27615-2756

Mailing address

1950 Old Gallows Rd
Suite 520
Vienna, VA 22182-3990
Phone (703) 847-8899

Other identifiers 1

IdentifierTypeStateIssuer
410033568OtherNCRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20111221000003 NC Practitioner - Optometry 0749361707 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

13220 Strickland Rd
Suite 160
Raleigh, NC 27613-5213
Phone (919) 870-6430

1960 Randolph Rd
Charlotte, NC 28207-1129
Phone (704) 372-5332

7020 Six Forks Rd
Raleigh, NC 27615-6430
Phone (919) 847-5957

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1296NCMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of North Carolina, PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of North Carolina, PLLC Optometrist CurrentSince Jul 21, 2014 Accepting new patients
Myeyedr Optometry of North Carolina PLLC Optometrist CurrentSince Jul 21, 2014 Accepting new patients
Myeyedr Optometry of North Carolina, PLLC Optometrist PastSince Aug 18, 2019 Accepting new patients
Wake Forest Family Eye Care, O.D., P.a. Optometrist Past Accepting new patients
Eye Care Associates OD PA Optometrist Past Accepting new patients

Locations

1960 Randolph Rd
Charlotte, NC 28207
Phone (704) 372-5332

1001 Widewaters Pkwy
Knightdale, NC 27545
Phone (919) 266-6999

1100 Mercantile Dr
Ste 130
Raleigh, NC 27609
Phone (984) 204-6754

13220 Strickland Rd
Ste 160
Raleigh, NC 27613
Phone (919) 870-6430

6566 Glenwood Ave
Raleigh, NC 27612
Phone (919) 783-0011

7020 Six Forks Rd
Raleigh, NC 27615
Phone (919) 847-5957

8311 Bandford Way
Ste 105
Raleigh, NC 27615
Phone (919) 870-0880

110 Capcom Ave
Ste 100
Wake Forest, NC 27587
Phone (919) 554-3227

12205 Capital Blvd
Wake Forest, NC 27587
Phone (919) 554-2020

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510531200000",
    "number": "1275504532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD",
            "address_2": "SUITE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823990",
            "telephone_number": "703-847-8899",
            "fax_number": "703-991-0514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8311 BANDFORD WAY",
            "address_2": "SUITE 105",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276152756",
            "telephone_number": "919-870-1880",
            "fax_number": "919-847-4509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUCHENREUTHER",
        "first_name": "GEORGE",
        "middle_name": "JOHN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2017-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410033568",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.