Ryan J. Kueker OD PA
Organization Active NPI Optometrist · Onaga, KS
NPI 1699000679 · NPPES record last updated Oct 9, 2009
Key facts
- NPI
- 1699000679
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- RYAN J. KUEKER OD PA
- Practice address
- 115 West 3Rd Street
Onaga, KS 66521-0008 - Phone
- (785) 889-4387
- Fax
- (785) 889-7112
- NPI assigned
- Oct 9, 2009
- Organization subpart
- Yes
- Parent organization (as reported)
- RYAN J. KUEKER OD PA
Authorized official
- Name
- Dr. Ryan J. Kueker, OD
- Title
- Owner
- Phone
- (785) 889-4387
Parent organization (reported in NPPES) 1
Other NPIs on the same Medicare enrollment 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051004000313 | KS | Part B Supplier - Clinic/Group Practice | 7810922390 |
Receives reassigned benefits from 5 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Onaga, KS; Wamego, KS; Seneca, KS; Saint Marys, KS; Manhattan, KS |
National Provider Directory
- Part of
- Ryan J Kueker OD PA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
115 West 3Rd Street
Onaga, KS 66521-0008
Mailing address
115 West 3Rd Street
P O Box 8
Onaga, KS 66521-0008
Phone (785) 889-4387
Other providers in Onaga, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 9, 2009. 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.