Melissa R Keusler, OD, PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

1465-3 Issued in KS

Legal business name

MELISSA R KEUSLER, OD, PA

Practice address

6110 W Kellogg Dr
Suite #1
Wichita, KS 67209-2361

Phone

(316) 260-8788

Fax

(316) 943-8787

NPI assigned

May 26, 2006

Organization subpart

No

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

Authorized official

Name

Melissa R Keusler, O.D.NPI 1316913080

Title

Optometrist/Owner

Phone

(316) 260-8788

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Locations

Practitioners 1

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

• Melissa Ramos Keusler, OD

  • Optometrist
  • Wichita, KS
  • NPI 1316913080
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831145010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6110 W KELLOGG DR",
            "address_2": "SUITE #1",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672092361",
            "telephone_number": "316-260-8788",
            "fax_number": "316-943-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6110 W KELLOGG DR",
            "address_2": "SUITE #1",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672092361",
            "telephone_number": "316-260-8788",
            "fax_number": "316-943-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA R KEUSLER, OD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KEUSLER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "316-260-8788",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1465-3",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaime R Melean, M.D.
• Lauren Mia Melendez Reyes, LMSW
• John Mark Melhorn, M.D.
• Katherine J Melhorn, MD
• Melissa a Kabler, D.C. P.a.
• Melissa T. Hopper, Psy.D., P.a.
• Lindsay Marie Mellan, PA-C
• Laura Beth Mellinger
• B Theo Mellion, PH.D, M.D.
• Alexandra Meloccaro, MD

• 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 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.