Doerksen & Associates Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

1324 Issued in KS

Legal business name

DOERKSEN & ASSOCIATES INC

Practice address

7570 W 21St St N
BLDG. 1002
Wichita, KS 67205-1734

Phone

(316) 721-3377

Fax

(316) 721-6077

NPI assigned

Mar 29, 2007

Last updated

Jun 21, 2018By 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

Russell L Doerksen, O.D.NPI 1528166634

Title

Owner

Phone

(316) 721-3377

Specialties & licenses 1

Addresses

Other identifiers 3

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.

Medicare medical equipment & supply locations

Locations

Practitioners 3

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.

• Russell L Doerksen, O.D.

  • Optometrist
  • Wichita, KS
  • NPI 1528166634
  Medicare reassignment NPD Authorized official
• Ashley Mae Blasi, O.D.

  • Optometrist
  • Wichita, KS
  • NPI 1699921270
  NPD (past)
• Chad T Premer, O.D.

  • Optometrist
  • Great Bend, KS
  • NPI 1104897677
  NPD (past)

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1821118415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7570 W 21ST ST N",
            "address_2": "BLDG. 1002",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051734",
            "telephone_number": "316-721-3377",
            "fax_number": "316-721-6077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7570 W 21ST ST N",
            "address_2": "BLDG. 1002",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051734",
            "telephone_number": "316-721-3377",
            "fax_number": "316-721-6077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOERKSEN & ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "DOERKSEN",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-721-3377",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED HEALTH",
            "identifier": "3712",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "462231",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "049835",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela L Dodge, ARNP
• Dodson Chiropractic
• Alvin Dodson, D.C.
• Jacob Arthur Doeden, PHARMD
• Josh A Doeden, PHARMD
• Russell L Doerksen, O.D.
• Brittany Doerner, LMSW
• Kristin F Doffing, APRN
• Monica Doffing, A.P.R.N.
• John Doggett, PTA

• 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 Jun 21, 2018; 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.