Great Plains Vision LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1213-3 Issued in KS

Legal business name

GREAT PLAINS VISION LLC

Practice address

2010 Central Ave
Dodge City, KS 67801-6442

Phone

(620) 227-8622

Fax

(620) 227-7099

NPI assigned

May 23, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Laurie White, O.D.

Title

Owner

Phone

(620) 227-8622

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Jacquelyn S Kemmerer, DNP

  • Nurse Practitioner
  • Lansing, KS
  • NPI 1134124795
  NPD (past)
• Travis L Kinderknecht, O.D.

  • Optometrist
  • Quinter, KS
  • NPI 1285603381
  NPD (past)

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

{
    "created_epoch": "1211500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320105600000",
    "number": "1295993418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 CENTRAL AVE",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678016442",
            "telephone_number": "620-227-8622",
            "fax_number": "620-227-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 CENTRAL AVE",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678016442",
            "telephone_number": "620-227-8622",
            "fax_number": "620-227-7099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT PLAINS VISION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-23",
        "last_updated": "2011-11-01",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "620-227-8622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1213-3",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100218630B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chelsea Gleason, CNM
• Global Bone and Joint Clinic LLC
• James E Godbey, D.MIN.
• Mara Lee Goebel, PHARMD
• Golden Medical, Inc.
• Jessica Grigoreva
• Kirk D Gross, MD
• Jordan E Gwaltney, O.D.
• Tawnya Jean Hamilton, ARNP, CCM
• Jie Hao, PT, DPT

• 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 Nov 1, 2011; 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.