Ronald L Fiegel OD PA- Derby

Primary specialty

OptometristTaxonomy code 152W00000X

License

1082-3 Issued in KS

Legal business name

RONALD L FIEGEL OD PA- DERBY

Practice address

1626 E Madison Ave
Derby, KS 67037-2076

Phone

(316) 788-1535

Fax

(316) 788-1596

NPI assigned

Nov 17, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Ronald L Fiegel, O.D.

Title

Provider

Phone

(316) 729-8900

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1226880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320364800000",
    "number": "1700030806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 E MADISON AVE",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670372076",
            "telephone_number": "316-788-1535",
            "fax_number": "316-788-1596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1626 E MADISON AVE",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670372076",
            "telephone_number": "316-788-1535",
            "fax_number": "316-788-1596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD L FIEGEL OD PA- DERBY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-17",
        "last_updated": "2011-11-04",
        "status": "A",
        "authorized_official_last_name": "FIEGEL",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "316-729-8900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1082-3",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Derby, KS
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.