Juenemann Family Eyecare, PA
Organization Active NPI Optometrist · Phillipsburg, KS
NPI 1649482183 · NPPES record last updated Aug 18, 2026
Key facts
- NPI
- 1649482183
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 13993 (KS)
- Legal business name
- JUENEMANN FAMILY EYECARE, PA
- Practice address
- 655 5TH Street
Phillipsburg, KS 67661 - Phone
- (785) 543-2715
- Fax
- (785) 543-6556
- NPI assigned
- May 4, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Ronald J Juenemann, OD
- Title
- President
- Phone
- (785) 543-2715
Practitioners 5
-
Travis L Kinderknecht, O.D.
-
Thomas L McDonald, M.D.
-
John C Pokorny, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100917000330 | KS | Part B Supplier - Clinic/Group Practice | 5496870123 |
Receives reassigned benefits from 2 practitioners Practice locations: Phillipsburg, KS |
| O20100930032956 | KS | DME Supplier - Physician - Optometrist | 5496870123 | Practice locations: Phillipsburg, KS |
National Provider Directory
Locations
437 N Tyler Rd
Wichita, KS 67212
Phone (316) 722-1001
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 13993 | KS | Yes |
Addresses
Primary practice location
655 5TH Street
Phillipsburg, KS 67661
Mailing address
PO Box 509
Phillipsburg, KS 67661-0509
Phone (785) 543-2715
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952408221 | Other | KS | INDIVIDUAL NPI NUMBER |
Other providers in Phillipsburg, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.