Ronald M Kichura OD LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

182 Issued in AK

Legal business name

RONALD M KICHURA OD LLC

Practice address

5953 Zeamer Ave
Jber, AK 99506-3702

Phone

(907) 580-1150

NPI assigned

Apr 24, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Ronald M Kichura, OD

Title

Owner/Provider

Phone

(907) 580-1150

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1366761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366761600000",
    "number": "1386088011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5953 ZEAMER AVE",
            "city": "JBER",
            "state": "AK",
            "postal_code": "995063702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5953 ZEAMER AVE",
            "city": "JBER",
            "state": "AK",
            "postal_code": "995063702",
            "telephone_number": "907-580-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD M KICHURA OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-24",
        "last_updated": "2013-04-24",
        "status": "A",
        "authorized_official_last_name": "KICHURA",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "907-580-1150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AK",
            "license": "182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erika Lashawn Robertson, NP
• Sergei Robinson, D.O.
• Christian Rodriguez
• Christopher Roff, DMD
• Laura Marie Roland, LCSW
• Anthony James Rotello
• Darla Roundtree Sr., LCSW
• Jessica Ann Saft, IDMT
• Liliya Sakhan
• Nicola Salomone, MS, LAT, ATC

• Optometrist in Jber, AK
• Providers in Jber, AK by specialty
• Optometrist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; 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.