DR. GERARDO ROBLES MORALES (NPI# 1376557926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376557926 |
| Entity Type | Individual |
| Full Name | DR. GERARDO ROBLES MORALES |
| Practice Address |
57950 Leavenworth St Mcconnell Afb KS 67221-3506 |
| Mailing Address |
Po Box 25 Andover KS 67002-0025 |
| Practice Telephone | 3167595122 |
| Mailing Telephone | 7877172952 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2018-04-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 4901004313 | MI | Eye and Vision Services Providers |
| Street Address |
57950 LEAVENWORTH ST |
| City | MCCONNELL AFB |
| State | KS |
| Zip Code | 67221-3506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194712828 | Everett J Deleon | Family Medicine | 57950 Leavenworth St, Attn Credentials Manager, Mcconnell Afb, KS 67221-3506 | 2005-09-27 |
| 1073151023 | Arlington Dale Lindskog | Physical Therapist | 57950 Leavenworth St, Mcconnell Afb, KS 67221-3506 | 2019-12-19 |
| 1083264550 | Brianna Hope Slayback | Military Health Care Provider | 57950 Leavenworth St, Mcconnell Afb, KS 67221-3506 | 2019-09-17 |
| 1538729132 | Matthew Alan Duggan | Physician Assistant | 57950 Leavenworth St, Mcconnell Afb, KS 67221-3506 | 2019-06-17 |
| 1295212413 | Walter Steven Agudelo | Military Health Care Provider | 57950 Leavenworth St, Mcconnell Afb, KS 67221-3506 | 2018-07-20 |
| 1215425657 | Jordon L Jeans | Military Health Care Provider | 57950 Leavenworth St, Mcconnell Afb, KS 67221-3506 | 2018-05-01 |
| 1144721150 | Daniel Belgam | Student in an Organized Health Care Education/Training Program | 57950 Leavenworth St, Mcconnell Afb, KS 67221-3506 | 2018-02-24 |
| 1568960342 | Justine R Froude | Military Health Care Provider | 57950 Leavenworth St, Mcconnell Afb, KS 67221-3506 | 2018-01-26 |
| 1578919049 | Kathryn Rachel Kocher | Pediatrics | 57950 Leavenworth St, Mcconnell Afb, KS 67221 | 2016-05-13 |
| 1265817878 | Rachel M Gurley | Social Worker | 57950 Leavenworth St, 22 Mdos/ Sgow, Mcconnell Afb, KS 67221-3506 | 2015-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922528421 | Rose Lee Samples | Nurse Practitioner | 51950 Leavenworth St., Family Health Clinic 22 Mdg, Mcconnell Afb, KS 67221 | 2017-06-26 |
| 1114247913 | Dawn Marie Clifton | Nurse Practitioner | 57950 Leavenworth Ave Bldg 250, 22d Medical Group, Mcconnell Afb, KS 67221 | 2010-06-03 |
| 1467514489 | 22nd Medical Group | Pharmacy | 57590 Leavenworth Bldg 250, Mcconnell Afb, KS 67221 | 2006-12-15 |
| 1336182153 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | Derby Street, Building 352, Mcconnell Afb, KS 67221 | 2006-06-13 |
| 1962707067 | Melissa M Wendt | Physician Assistant | 57950 Leavenworth St Ste 4e1, Mcconnell Afb, KS 67221 | 2011-01-20 |
| 1922232271 | Richard Jimenez Rubi | Military Health Care Provider | 22 Mdg, Mcconnell Afb, KS 67221 | 2009-05-14 |
| 1871581306 | Joshua A Hartman | Emergency Medicine | 57950 Leavenworth St Bldg 248, Mcconnell Afb, KS 67221-3505 | 2005-10-10 |
| 1164052700 | Taylor Holloway | Family Medicine | 57950 Leavenworth St Bldg 250, Mcconnell Afb, KS 67221-3505 | 2020-01-23 |
| 1407296940 | Daniel Richard Galle | Optometrist | 57950 Leavenworth St Ste 4e1, Mcconnell Afb, KS 67221-3505 | 2013-06-28 |
| 1669969424 | Alesha Avis Heinz | Student in an Organized Health Care Education/Training Program | 57950 Leavenworth Street, Suite 4e1, Mcconnell Afb, KS 67221-3506 | 2018-04-17 |
| Find all providers in zip 67221 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407296940 | Daniel Richard Galle | Optometrist | 57950 Leavenworth St Ste 4e1, Mcconnell Afb, KS 67221-3505 | 2013-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013529197 | Drs Price Young Odle & Horsch Pa | Optometrist | 975 N Mur Len Rd Ste D, Olathe, KS 66062-1803 | 2020-08-19 |
| 1174141303 | Megan Anne Williams | Optometrist | 21 N 12th St Ste 102, Kansas City, KS 66102-5172 | 2020-07-14 |
| 1114544392 | Diana Ho | Optometrist | 980 Oliver Street, Wichita, KS 67218 | 2020-07-03 |
| 1679123590 | Acuity Vision Center LLC | Optometrist | 11114 S Lone Elm Rd, Olathe, KS 66061-9434 | 2019-09-12 |
| 1861040909 | Larisa Rivera | Optometrist | 949 S Glendale St, Wichita, KS 67218-3210 | 2019-09-02 |
| 1306493044 | Steven Bartholomew Od, LLC | Optometrist | 809 N 3rd St Ste 200, Manhattan, KS 66502-6702 | 2019-08-19 |
| 1427612084 | Kansas Physicians Eyecare Group, P.C. | Optometrist | 438 S Rock Rd, Wichita, KS 67207-1150 | 2019-04-29 |
| 1396213799 | Wichita Optometry, P.a. | Optometrist | 2330 N Amidon Ave, Wichita, KS 67204-5630 | 2018-11-05 |
| 1073090742 | Eyesmile Vision LLC | Optometrist | 1300a Main St, Hays, KS 67601-3658 | 2018-07-25 |
| 1710463500 | Macey Pruett | Optometrist | 982 N Tyler Rd Ste A, Wichita, KS 67212-3271 | 2018-07-14 |
| Find all providers with the same taxonomy | ||||
| City | MCCONNELL AFB |
| Zip Code | 67221 |
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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.