Julie K Kueker, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046-009624 Issued in IL

Practice address

1870 W Main St
Salem, IL 62881-5838

Phone

(618) 548-6590

NPI assigned

Jun 23, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Optometry

Education

Other, 2000

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Julie K. Kueker, O.D., P.a.

  • Optometrist
  • Salem, IL
  • NPI 1174610372

  IL, Optometrist

  Medicare reassignment NPD Authorized official
• Luxottica of America Inc.

  • Eyewear Supplier
  • Fairview Heights, IL
  • NPI 1891880977
  NPD (past)
• John J Marcin & Associates PA

  • Optometrist
  • Melbourne, FL
  • NPI 1821184870
  NPD (past)
• Luxottica of America Inc

  • Eyewear Supplier
  • Kansas City, MO
  • NPI 1497412522
  NPD (past)

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221523200000",
    "number": "1437185253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11901 WESTWOOD LN",
            "city": "HIGHLAND",
            "state": "IL",
            "postal_code": "622493863",
            "telephone_number": "618-654-1704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1870 W MAIN ST",
            "city": "SALEM",
            "state": "IL",
            "postal_code": "628815838",
            "telephone_number": "618-548-6590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUEKER",
        "first_name": "JULIE",
        "middle_name": "K",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2008-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-009624",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3628",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046009624",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Brent Kessler, M.D.
• Ashley Kircher
• Knevitt Inc
• Melissa J Kohnen, CPNP-PC
• Heather Krajefska, CCC-SLP
• Shanmugam Lakshmanan, MD
• Lori Landreth, CPNP-PC
• Angeline Lardizabal, RPT
• Mason Lemarr
• Steven Light, DDS

• All providers in Salem, IL
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.