John A Kauderman Jr., OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG002992 Issued in PA

Practice address

655 South 7TH St BLDG 700/700a
Robins Afb, GA 31098

Phone

(478) 327-8352

NPI assigned

Oct 1, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Linda Munro Psy D PA

  • Military Hospital
  • Robins Afb, GA
  • NPI 1689886137
  NPD (past)

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

{
    "created_epoch": "1412121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533081600000",
    "number": "1760885057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 WILSONS CREEK BND",
            "city": "BONAIRE",
            "state": "GA",
            "postal_code": "310053838",
            "telephone_number": "813-767-8340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 SOUTH 7TH ST BLDG 700/700A",
            "city": "ROBINS AFB",
            "state": "GA",
            "postal_code": "31098",
            "telephone_number": "478-327-8352"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 Polifka Dr",
            "address_purpose": "LOCATION",
            "city": "Shaw AFB",
            "state": "SC",
            "postal_code": "291525100",
            "country_code": "US",
            "telephone_number": "803-895-6579",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "149 Hart St",
            "address_2": "82d AMDS/SGPO",
            "address_purpose": "LOCATION",
            "city": "Sheppard AFB",
            "state": "TX",
            "postal_code": "763113430",
            "country_code": "US",
            "telephone_number": "940-676-6243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAUDERMAN",
        "first_name": "JOHN",
        "middle_name": "A",
        "name_suffix": "Jr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-01",
        "last_updated": "2018-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ethan Irvin, PHYSICIAN ASSISTANT
• Phyllis D Ivery, PH.D.
• Jon Morris Johnson, M.D.
• Stephanie Hillsman Johnson, LCSW
• Valerie V T Johnson, M.D.
• Amy Kilbarger, FNP-C
• Daniel Kim, DMD
• Stephanie Irene King, OD
• Lindi Kristen Kirkland, DPT
• Anna Klein

• Optometrist in Robins Afb, GA
• Providers in Robins Afb, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; 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.