Ryan J. Kueker OD PA

Primary specialty

OptometristTaxonomy code 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

Last updated

Oct 9, 2009By the provider in NPPES

Organization subpart

Yes

Parent organization

RYAN J. KUEKER OD PAAs reported in NPPES

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

Authorized official

Name

Dr. Ryan J. Kueker, OD

Title

Owner

Phone

(785) 889-4387

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Ryan J. Kueker, OD, PA

  • Optometrist
  • Wamego, KS
  • NPI 1033201876

  O20051004000313

  Same enrollment

Part of

Ryan J Kueker OD PA

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Ryan J. Kueker, OD, PA

  • Optometrist
  • Wamego, KS
  • NPI 1033201876
  NPPES parent name

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

{
    "created_epoch": "1255046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255046400000",
    "number": "1699000679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 WEST 3RD STREET",
            "address_2": "P O BOX 8",
            "city": "ONAGA",
            "state": "KS",
            "postal_code": "665210008",
            "telephone_number": "785-889-4387",
            "fax_number": "785-889-7112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 WEST 3RD STREET",
            "city": "ONAGA",
            "state": "KS",
            "postal_code": "665210008",
            "telephone_number": "785-889-4387",
            "fax_number": "785-889-7112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN J. KUEKER OD PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RYAN J. KUEKER OD PA",
        "enumeration_date": "2009-10-09",
        "last_updated": "2009-10-09",
        "status": "A",
        "authorized_official_last_name": "KUEKER",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "785-889-4387",
        "authorized_official_name_prefix": "Dr.",
        "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": []
}

• Onaga Operator, LLC (Onaga Health and Rehab)
• Mary L Pennington, OTR
• Jan L Rayl, RPT
• Michele E Reisinger, ARNP-C
• Debra L Rezac, ARNP
• Derek Surdez, DPT
• Merica Surdez, APRN
• Sheila S Talley, PA-C
• The Onaga Pharmacy
• The West Pharm LLC (Onaga Pharmacy)

• Optometrist in Onaga, KS
• Providers in Onaga, KS by specialty
• Optometrist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2009; 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.