Individual provider Active NPI

Ronald J Juenemann, OD

  • Optometrist
  • Phillipsburg, KS
National Provider Identifier
1952408221
Registry record updated Oct 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13993 Issued in KS
Practice address
655 5TH Street
Phillipsburg, KS 67661
Phone
(785) 543-2715
Fax
(785) 543-6556
NPI assigned
Sep 20, 2006
Last updated
Oct 25, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 13993 KS Primary

Addresses

Primary practice location

655 5TH Street
Phillipsburg, KS 67661

Mailing address

PO Box 509
Phillipsburg, KS 67661
Phone (785) 543-2715

Other identifiers 2

IdentifierTypeStateIssuer
100219890BMedicaidKS
0623020001OtherKSMEDICARE DMERC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100917000378 KS Practitioner - Optometry 7911022645 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ronald J Juenemann OD PAGroup PAC ID 5496870123, 2 clinicians

Practice addresses (Care Compare)

655 5TH St
Phillipsburg, KS 67661-2117
Phone (785) 543-2715

Merit-based Incentive Payment System (MIPS)

Final score
63.99 of 100Reported as individual
Quality
35.62
Promoting interoperability
98
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13993KSMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Juenemann Family Eyecare, PA Optometrist CurrentSince Jul 1, 1998 Accepting new patients
Eye Specialists Associated, PA Optometrist PastSince Jan 1, 2001 Accepting new patients

Locations

655 5th St
Phillipsburg, KS 67661
Phone (785) 543-2715

Interoperability endpoints

  • Direct secure messaging: drjuenemann@drj.direct.eyemdemr.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319500800000",
    "number": "1952408221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 509",
            "city": "PHILLIPSBURG",
            "state": "KS",
            "postal_code": "67661",
            "telephone_number": "785-543-2715",
            "fax_number": "785-543-6556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 5TH STREET",
            "city": "PHILLIPSBURG",
            "state": "KS",
            "postal_code": "67661",
            "telephone_number": "785-543-2715",
            "fax_number": "785-543-6556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUENEMANN",
        "first_name": "RONALD",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2011-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "13993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100219890B",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DMERC",
            "identifier": "0623020001",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phillipsburg, KS

Sources for this page

Verify at the official NPI Registry.