KATER OPTOMETRIC SERVICES LLC (NPI# 1194910869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194910869 |
| Entity Type | Organization |
| Organization Name | KATER OPTOMETRIC SERVICES LLC |
| Practice Address |
1211 W Maple Suite 125 Wichita KS 67235-8756 |
| Mailing Address |
12111 W Maple St Suite 125 Wichita KS 67235-8755 |
| Practice Telephone | 3168320026 |
| Practice Fax Number | 3168320029 |
| Mailing Telephone | 3168320026 |
| Mailing Fax Number | 3168320029 |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2010-09-09 |
| Authorized Official Name | MS. AMY BODEN (OFFICE MANAGER) |
| Authorized Official Telephone | 3168320026 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
1239-2 | KS | Eye and Vision Services Providers |
| N | 152WP0200X |
Optometrist Specialization: Pediatrics |
1239-2 | KS | Eye and Vision Services Providers |
| N | 152WS0006X |
Optometrist Specialization: Sports Vision |
1239-2 | KS | Eye and Vision Services Providers |
| N | 152WV0400X |
Optometrist Specialization: Vision Therapy |
1239-2 | KS | Eye and Vision Services Providers |
| N | 152WX0102X |
Optometrist Specialization: Occupational Vision |
1239-2 | KS | Eye and Vision Services Providers |
| Y | 152WL0500X |
Optometrist Specialization: Low Vision Rehabilitation |
1239-2 | KS | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | BCBS LEGACY NUMBER | 651176 | 01 |
| Street Address |
1211 W MAPLE SUITE 125 |
| City | WICHITA |
| State | KS |
| Zip Code | 67235-8756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275093205 | Kimberly Mcminn-rogers | Counselor | 1403 N Blackstone Ct, Wichita, KS 67235 | 2019-03-25 |
| 1609341882 | Kara Jean Steen | Rehabilitation Practitioner | 12112 W Kellogg Ave, Wichita, KS 67235 | 2018-10-03 |
| 1528339199 | Maria Boothe | Pharmacist | 13534 W Maple Street, Wichita, KS 67235 | 2012-01-13 |
| 1528009966 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 13415 W Maple St, Wichita, KS 67235 | 2006-06-09 |
| 1982916995 | Elizabeth Lynn Flax | Family Medicine | 13610 W Maple St, Wichita, KS 67235 | 2010-07-07 |
| 1437371721 | Benjamin Davies Young | Orthopaedic Surgery | 12112 W Kellogg St, Wichita, KS 67235 | 2007-05-03 |
| 1962551051 | Christopher Todd Roy | Specialist/Technologist | 12112 W Kellogg St, Wichita, KS 67235-1100 | 2007-01-09 |
| 1417579905 | Levi Mcgee | Physical Therapist | 12112 W Kellogg St, Wichita, KS 67235-1100 | 2020-05-07 |
| 1750911392 | Michael Brian Harvey | Specialist/Technologist | 12112 W Kellogg St, Wichita, KS 67235-1100 | 2020-01-23 |
| 1154816320 | Joseph Lewis | Specialist/Technologist | 12112 W Kellogg St, Wichita, KS 67235-1100 | 2018-06-28 |
| Find all providers in zip 67235 | ||||
| Taxonomy Code | 152WL0500X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Low Vision Rehabilitation |
| Optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871867416 | Deena Sandall, Od | Optometrist | 610 N Main St Ste 213, Wichita, KS 67203-3619 | 2012-02-29 |
| 1003071887 | William L Park, Od, LLC | Optometrist | 610 N Main St, Suite 201, Wichita, KS 67203-3601 | 2008-07-22 |
| 1801960679 | Minta Susan Tate | Optometrist | 2301 S Water, Wichita, KS 67213 | 2006-11-20 |
| 1699768895 | Shu Tzu Wong | Optometrist | 2301 S Water St, Wichita, KS 67213-4819 | 2005-08-24 |
| 1184616807 | Enivision Inc | Optometrist | 2301 S Water St, Wichita, KS 67213-4819 | 2005-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588605331 | Dr. John Metzger | Optometrist | 10875 Grandview St, Suite 2260, Overland Park, KS 66210-1561 | 2006-06-10 |
| 1114940160 | Western Kansas Low Vision Associates Pa | Optometrist | 310 E Walnut St, Garden City, KS 67846-5560 | 2006-07-25 |
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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.