Jury Eye Care LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1282-3 Issued in KS

Legal business name

JURY EYE CARE LLC

Practice address

926 E Douglas Ave
Wichita, KS 67202-3510

Phone

(316) 247-6515

Fax

(678) 928-0651

NPI assigned

Jul 31, 2013

Organization subpart

No

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

Authorized official

Name

Dr. James S Jury, O.D.NPI 1801999362

Title

Member

Phone

(316) 247-6515

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Jury Eye Care LLC

  • Optometrist
  • Derby, KS
  • NPI 1437488145

  O20140130001427

  Same enrollment

Locations

Practitioners 2

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

• James S Jury, O.D.

  • Optometrist
  • Wichita, KS
  • NPI 1801999362

  KS

  Medicare reassignment Care Compare group Authorized official
• Lauren Nicole Tatlock, OD

  • Optometrist
  • Wichita, KS
  • NPI 1083276810

  KS

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1375228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375228800000",
    "number": "1275965378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 E DOUGLAS AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672023510",
            "telephone_number": "316-247-6515",
            "fax_number": "678-928-0651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 E DOUGLAS AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672023510",
            "telephone_number": "316-247-6515",
            "fax_number": "678-928-0651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JURY EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-31",
        "last_updated": "2013-07-31",
        "status": "A",
        "authorized_official_last_name": "JURY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "316-247-6515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1282-3",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200622550A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dania Jumpa
• Jordyn Jung
• Betty Juniel
• Katie E Jurey, COTA
• Helene J Jurgens, PHD
• James S Jury, O.D.
• Just Diabetic Supplies, LLC
• JWM Medical Inc
• JWM Medical Inc
• Christopher Allen Kabler, D.C

• All providers in Wichita, KS
• Optometrist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; 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.