Active NPI
Ronald J Juenemann, OD
- Optometrist
- Phillipsburg, KS
National Provider Identifier
1952408221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 13993
- 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, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100219890B | Medicaid | KS | |
| 0623020001 | Other | KS | MEDICARE 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
Enrollment records 1
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
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 100
- Quality
- 35.62
- Promoting interoperability
- 98
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13993 | KS | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Juenemann Family Eyecare, PA | Optometrist | Current | Accepting new patients |
| Eye Specialists Associated, PA | Optometrist | Past | Accepting new patients |
Locations
655 5th St
Phillipsburg, KS 67661
Phone (785) 543-2715
Interoperability endpoints
- 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.
-
- Optometrist
- Phillipsburg, KS
- NPI 1649482183
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
- Hospice Services of Northwest Kansas, Inc (Palliative Care of Northwest Kansas, LLC)
- Hummingbird Mental Health and Wellness LLC
- Tory Isaacson
- Kristen Elaine Jones, DNP, FNP-C
- Juenemann Family Eyecare, PA
- Blade Thomas Kalleck, PHARMD, RPH
- Karli Kattenberg
- Claire Elizabeth Keeten
- Sue L Kipp, COTA
- Timothy W Lawton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.