Dickman Kettler & Bruner Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

DICKMAN KETTLER & BRUNER INC

Practice address

201 S 2ND St
Coldwater, OH 45828-1747

Phone

(419) 678-3016

Fax

(419) 678-8849

NPI assigned

Aug 24, 2006

Last updated

Apr 9, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jillynn F Bruner, ODNPI 1780791681

Title

Vice President

Phone

(419) 678-3016

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Interoperability endpoints

• Direct secure messaging: atobe@professionalfamilyeyecare.eyefinity-direct.com
• Direct secure messaging: jbruner@professionalfamilyeyecare.eyefinity-direct.com
• Direct secure messaging: jdickman@professionalfamilyeyecare.eyefinity-direct.com
• Direct secure messaging: tspeelman@professionalfamilyeyecare.eyefinity-direct.com

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jillynn F Bruner, OD

  • Optometrist
  • Coldwater, OH
  • NPI 1780791681
  Medicare reassignment Care Compare group NPD Authorized official
• Calen Bruner, OD

  • Optometrist
  • Greenville, OH
  • NPI 1992444269
  Medicare reassignment Care Compare group NPD
• Carson Matthew Bruner

  • Optometrist
  • Coldwater, OH
  • NPI 1063107183
  Medicare reassignment Care Compare group NPD
• Alicia W Tobe, O.D.

  • Optometrist
  • Coldwater, OH
  • NPI 1013220433
  Medicare reassignment Care Compare group NPD
• Clara Durie Wagner, OD

  • Optometrist
  • Lima, OH
  • NPI 1316644537
  Medicare reassignment Care Compare group NPD
• Tyler James Speelman, O.D.

  • Optometrist
  • Coldwater, OH
  • NPI 1780023978
  Medicare reassignment Care Compare group
• Wayne R Kettler, OD

  • Optometrist
  • Coldwater, OH
  • NPI 1821105727
  NPD (past)
• William C Loudenslager, OD

  • Optometrist
  • Greenville, OH
  • NPI 1528035110
  NPD (past)
• James D. Studebaker, OD

  • Optometrist
  • Englewood, OH
  • NPI 1982608261
  NPD (past)
• Joseph B Studebaker, OD

  • Optometrist
  • Englewood, OH
  • NPI 1124022090
  NPD (past)
• Mark B Vallo, O.D.

  • Optometrist
  • Greenville, OH
  • NPI 1992816904
  NPD (past)
• W Victor Vonblon, OD

  • Optometrist
  • Saint Marys, OH
  • NPI 1144439381
  NPD (past)

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1558478453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95",
            "address_2": "201 S SECOND ST",
            "city": "COLDWATER",
            "state": "OH",
            "postal_code": "458280095",
            "telephone_number": "419-678-3016",
            "fax_number": "419-678-8849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S 2ND ST",
            "city": "COLDWATER",
            "state": "OH",
            "postal_code": "458281747",
            "telephone_number": "419-678-3016",
            "fax_number": "419-678-8849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DICKMAN KETTLER & BRUNER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "BRUNER",
        "authorized_official_first_name": "JILLYNN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "419-678-3016",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juanita M Combs, CRNA
• Megan Ann Core, MD
• Curtisb. Kline DDS, LLC
• Elaine Depweg
• Diagnostic Pathology, LLC
• James K Dickman, OD
• Christine Marie Diller, P.T.
• Kevin M Dirksen, APRN-CNP
• Kayla Dorsten, OTR/L
• Dr. Kevin T. Hanzel, Inc.

• Optometrist in Coldwater, OH
• Providers in Coldwater, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.