Individual provider Active NPI

Ronald Clyde Kuehl, OD

  • Optometrist
  • Stevens Point, WI
National Provider Identifier
1821058090
Registry record updated Jul 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1334 Issued in WI
Practice address
1324 Centerpoint Dr
Stevens Point, WI 54481-9998
Phone
(715) 341-5088
Fax
(715) 341-5094
NPI assigned
Mar 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1334 WI Primary

Addresses

Primary practice location

1324 Centerpoint Dr
Stevens Point, WI 54481-9998

Mailing address

1324 Centerpoint Dr
Stevens Point, WI 54481-2807
Phone (715) 341-5088

Other identifiers 2

IdentifierTypeStateIssuer
0414070001OtherWIADMINASTAR FEDERAL
38569100MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1334WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Stevens Point Eye Care, LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248652800000",
    "number": "1821058090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 CENTERPOINT DR",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544812807",
            "telephone_number": "715-341-5088",
            "fax_number": "715-341-5094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 CENTERPOINT DR",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544819998",
            "telephone_number": "715-341-5088",
            "fax_number": "715-341-5094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUEHL",
        "first_name": "RONALD",
        "middle_name": "CLYDE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2009-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "1334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADMINASTAR FEDERAL",
            "identifier": "0414070001",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38569100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stevens Point, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2009; 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.