West Wichita Family Optometrists

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

WEST WICHITA FAMILY OPTOMETRISTS

Practice address

1202 W Maple St
Wichita, KS 67213-3916

Phone

(316) 262-3716

Fax

(316) 262-0784

NPI assigned

Feb 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Charles W Kissling, O.D.

Title

Vice President

Phone

(316) 262-3716

Specialties & licenses 1

Addresses

Other identifiers 1

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 6

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

• Emily Jean Becker, O,D.

  • Optometrist
  • Wichita, KS
  • NPI 1205149788
  Medicare reassignment Care Compare group NPD
• Jenna Dougherty, OD

  • Optometrist
  • Wichita, KS
  • NPI 1700614674
  Medicare reassignment Care Compare group NPD
• Ryan Carl Emrick, O.D.

  • Optometrist
  • Wichita, KS
  • NPI 1427361385
  Medicare reassignment Care Compare group NPD
• Eric W Lamp, O.D.

  • Optometrist
  • Wichita, KS
  • NPI 1285605618
  Medicare reassignment Care Compare group NPD
• Marcus S Randall, OD

  • Optometrist
  • El Dorado, KS
  • NPI 1922239169
  Medicare reassignment Care Compare group NPD
• Nicklaus James Richmond, O.D.

  • Optometrist
  • Wichita, KS
  • NPI 1003183062
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1821069220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 W MAPLE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672133916",
            "telephone_number": "316-262-3716",
            "fax_number": "316-262-0784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 W MAPLE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672133916",
            "telephone_number": "316-262-3716",
            "fax_number": "316-262-0784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST WICHITA FAMILY OPTOMETRISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-01",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "KISSLING",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "316-262-3716",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "005347",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacy Lynn Wessley, APRN
• John Wessling, D.C.
• West Side Medical Supply Inc
• West WFD GPS LLC
• West Wichita Assisted Living, LLC
• West Wichita Family Pharmacy LLC
• West Wichita Family Physicians, P.a.
• West Wichita Family Physicians, P.a.
• West Wichita Family Physicians, P.a.
• West Wichita Medical Clinic PA

• 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 Aug 12, 2008; 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.