JACOB T REESE (NPI# 1023249513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023249513 |
| Entity Type | Individual |
| Full Name | JACOB T REESE |
| Credential | ABOC NCLEC |
| Practice Address |
610 N Main St Wichita KS 67203-3601 |
| Practice Telephone | 3164401600 |
| Practice Fax Number | 3162679034 |
| Mailing Telephone | 3164401600 |
| Mailing Fax Number | 3162679034 |
| Enumeration Date | 2009-07-31 |
| Last Update Date | 2009-07-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346612652 | Jacob Reese | Counselor | 11211 Se 82nd Ave Ste 0, Portland, OR 97086-7641 | 2015-10-26 |
| Street Address |
610 N MAIN ST |
| City | WICHITA |
| State | KS |
| Zip Code | 67203-3601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972595627 | Karen Kay Kendrick | Occupational Therapist | 610 N Main St, Wichita, KS 67203-3601 | 2005-08-18 |
| 1760908024 | Envision Vision Rehabilitation Center Inc | Clinic/Center | 610 N Main St, Wichita, KS 67203-3618 | 2017-08-18 |
| 1003071887 | William L Park, Od, LLC | Optometrist | 610 N Main St, Suite 201, Wichita, KS 67203-3601 | 2008-07-22 |
| 1659547941 | Envision Vision Rehabilitation Center Inc | Eyewear Supplier (Equipment, not the service) | 610 N Main St, Wichita, KS 67203-3601 | 2008-05-06 |
| 1457329419 | William L Park | Optometrist | 610 N Main St, Suite 201, Wichita, KS 67203-3601 | 2006-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194372342 | Briana Renea Drury | Occupational Therapist | Via Christi Village 777 N Mclean Blvd, Wichita, KS 67203 | 2019-08-22 |
| 1568991826 | Kansas Transportation Services | Transportation Broker | 3536 W 2nd St N, # 503, Wichita, KS 67203 | 2017-06-08 |
| 1326590621 | Katherine Renee Newby | Marriage & Family Therapist | 930 W Douglas Ave # G, Wichita, KS 67203 | 2016-11-03 |
| 1376093211 | Stellar Home Health LLC | Home Health | 2525 W 13th St North, Suite 300, Wichita, KS 67203 | 2016-10-04 |
| 1972966497 | David Duane Sorrick | Marriage & Family Therapist | 1999 North Amidon, Wichita, KS 67203 | 2016-04-01 |
| 1285004978 | M. Sullivan Chiropractic LLC | Chiropractor | 728 W. Douglas Ave, Wichita, KS 67203 | 2015-10-07 |
| 1740664648 | Miketo Michelle Kirk | Counselor | 2050 West 11th St., Wichita, KS 67203 | 2015-07-10 |
| 1063895209 | Let's Talk Therapy and Supervision Inc | Social Worker | 2458 W Newell St, Wichita, KS 67203 | 2015-07-07 |
| 1396147096 | Heather Ann Shelton | Counselor | 1919 N Amidon Ave Ste 108, Wichita, KS 67203 | 2014-09-24 |
| 1538568456 | Patricia D. Riley | Social Worker | 1900 N Amidon Ave Ste 210, Wichita, KS 67203 | 2014-08-15 |
| Find all providers in zip 67203 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215385026 | Matthew King | Technician/Technologist | 7223 E Chelsea St, Wichita, KS 67206-1042 | 2016-06-02 |
| 1629425731 | Marcia Renee Little | Technician/Technologist | 942 S Oliver St, Wichita, KS 67218-3216 | 2016-05-18 |
| 1083884647 | Ryan Jay Storey | Technician/Technologist | 3033 S Seneca St, Wichita, KS 67217-3209 | 2008-03-10 |
| 1477605780 | Michael Glenn Melton | Technician/Technologist | 1016 W 29th St S, Wichita, KS 67217-3114 | 2007-01-17 |
| 1295809069 | Stacey D Langston | Technician/Technologist | 2301 S Water, Wichita, KS 67213 | 2006-11-20 |
| 1346321973 | The Spectacle Shoppe, Inc. | Technician/Technologist | 306 N Rock Rd, Ste 10, Wichita, KS 67206-2256 | 2006-10-18 |
| 1679917595 | Martin Verl Pickering | Technician/Technologist | 3033 S Seneca St, Wichita, KS 67217-3209 | 2013-04-22 |
| 1275762940 | Sapphire Marie Garcia | Technician/Technologist | 245 N Hillside St, Wichita, KS 67214-4903 | 2009-07-02 |
| 1285719872 | Wal-mart Stores, Inc. | Technician/Technologist | 10600 W 21st St N, Wichita, KS 67205-1886 | 2006-10-25 |
| 1003998055 | Wal-mart Stores, Inc. | Technician/Technologist | 6110 W Kellogg Dr, Wichita, KS 67209-2361 | 2006-10-19 |
| Find all providers in WICHITA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.