Waren Optometry

Primary specialty

OptometristTaxonomy code 152W00000X

License

1389-3 Issued in KS

Legal business name

WAREN OPTOMETRY

Doing business as

Waren Optometry

Practice address

2121 N Tyler Rd
Suite 302
Wichita, KS 67212-4920

Phone

(316) 729-8600

Fax

(316) 773-3160

NPI assigned

Mar 7, 2007

Organization subpart

No

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

Authorized official

Name

J Wesley Waren, O.D.

Title

Managing Member

Phone

(316) 729-8600

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Waren Optometry Doing business as

Tax ID family

John Wesley Waren2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• John Wesley Waren

  • Optometrist
  • Wichita, KS
  • NPI 1770985780
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Wesley Waren, OD

  • Optometrist
  • Wichita, KS
  • NPI 1518006303
  NPD (past)

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410307200000",
    "number": "1770613721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 N TYLER RD",
            "address_2": "SUITE 302",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672124900",
            "telephone_number": "316-729-8600",
            "fax_number": "316-773-3160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 N TYLER RD",
            "address_2": "SUITE 302",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672124920",
            "telephone_number": "316-729-8600",
            "fax_number": "316-773-3160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAREN OPTOMETRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2014-09-10",
        "status": "A",
        "authorized_official_last_name": "WAREN",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "WESLEY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "316-729-8600",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1389-3",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD OF KANSAS",
            "identifier": "065095",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1770613721",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Waren Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Anne Warden, ARNP
• Michelle Marie Warden, A.C.N.P.
• David Bertrand Warders, CPTA
• Melissa Dawn Warders, P.T.
• Danyelle Ware, LMSW
• John Wesley Waren, OD
• Madeline Warengo
• Marina De Moura Warkentien Amend, LMFT
• Janette Warne, MA,CCC,C SLP
• Katelynn Warne

• 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 Sep 10, 2014; 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.