Wichita Family Vision Clinic, P.a.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

WICHITA FAMILY VISION CLINIC, P.A.

Practice address

437 N. Tyler
Wichita, KS 67212

Phone

(316) 722-1001

Fax

(316) 722-1073

NPI assigned

Sep 29, 2006

Last updated

Jul 28, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert C Nelson, O.D.NPI 1023006632

Title

Owner

Phone

(316) 722-1001

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Practitioners 8

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.

• Cori A Dorrell, OD

  • Optometrist
  • Wichita, KS
  • NPI 1538050679
  Medicare reassignment Care Compare group NPD
• Jeremy M. Durham, O.D.

  • Optometrist
  • Wichita, KS
  • NPI 1750379368
  Medicare reassignment Care Compare group NPD
• Robert C. Nelson, O.D.

  • Optometrist
  • Wichita, KS
  • NPI 1023006632
  Medicare reassignment NPD Authorized official
• Lisa Sandell, O.D.

  • Optometrist
  • Wichita, KS
  • NPI 1154577112
  Medicare reassignment Care Compare group NPD
• Dajana Komadina Seiler, O.D.

  • Optometrist
  • Wichita, KS
  • NPI 1487900130
  Medicare reassignment Care Compare group NPD
• Andy P. Stephens, O.D.

  • Optometrist
  • Wichita, KS
  • NPI 1568450278
  Medicare reassignment Care Compare group NPD
• Deena D Sandall, OD

  • Optometrist
  • Wichita, KS
  • NPI 1568454213
  Medicare reassignment Care Compare group
• Riley C Juenemann, OD

  • Optometrist
  • Jackson, TN
  • NPI 1184363640

  KS

  Medicare reassignment NPD

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595894400000",
    "number": "1700978244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "437 N. TYLER",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67212",
            "telephone_number": "316-722-1001",
            "fax_number": "316-722-1073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 N. TYLER",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67212",
            "telephone_number": "316-722-1001",
            "fax_number": "316-722-1073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WICHITA FAMILY VISION CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-722-1001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wichita Endodontics LLC
• Wichita Endoscopy Center LLC
• Wichita Family Birth Support, LLC
• Wichita Family Dental Partnership (Wichita Family Dental)
• Wichita Family Medicine Specialists, LLC
• Wichita Foot and Ankle Wound Center
• Wichita Growth Center, P.a.
• Wichita Home Health Care Group Inc (AccessEdge Home Health Care of Wichita)
• Wichita Home Health Care LLC
• Wichita Hypnotherapy LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.