Organization Active NPI

Juenemann Family Eyecare, PA

  • Optometrist
  • Phillipsburg, KS
National Provider Identifier
1649482183
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13993 Issued in 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
Last updated
Aug 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Authorized official

Name
Dr. Ronald J Juenemann, ODNPI 1952408221
Title
President
Phone
(785) 543-2715

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 13993 KS Primary

Addresses

Primary practice location

655 5TH Street
Phillipsburg, KS 67661

Mailing address

PO Box 509
Phillipsburg, KS 67661-0509
Phone (785) 543-2715

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787011200000",
    "number": "1649482183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 509",
            "city": "PHILLIPSBURG",
            "state": "KS",
            "postal_code": "676610509",
            "telephone_number": "785-543-2715",
            "fax_number": "785-543-6556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 5TH STREET",
            "city": "PHILLIPSBURG",
            "state": "KS",
            "postal_code": "67661",
            "telephone_number": "785-543-2715",
            "fax_number": "785-543-6556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUENEMANN FAMILY EYECARE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A",
        "authorized_official_last_name": "JUENEMANN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "785-543-2715",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "KS",
            "license": "13993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phillipsburg, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.