IDOCS OF DODGE CITY, PA (NPI# 1588785786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588785786 |
| Entity Type | Organization |
| Organization Name | IDOCS OF DODGE CITY, PA |
| Practice Address |
2520 N 14th Ave Dodge City KS 67801-2315 |
| Practice Telephone | 6202273071 |
| Practice Fax Number | 6202276911 |
| Mailing Telephone | 6202273071 |
| Mailing Fax Number | 6202276911 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2009-06-05 |
| Authorized Official Name | DR. JORDAN E GWALTNEY (OPTOMETRIST) |
| Authorized Official Telephone | 6202273071 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1744 | KS | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100219900A | 05 | |
| KS | 200399790A | 05 | |
| KS | 100090850A | 05 | |
| KS | RR MEDICARE | C57955 | 01 |
| KS | BCBS GROUP # | 043311 | 01 |
| Street Address |
2520 N 14TH AVE |
| City | DODGE CITY |
| State | KS |
| Zip Code | 67801-2315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235109620 | Richard Irl Mcfadden | Dentist | 2520 N 14th Ave, Dodge City, KS 67801-2315 | 2006-01-26 |
| 1134659782 | Melissa Nicole Cole | Optometrist | 2520 N 14th Ave, Dodge City, KS 67801 | 2017-06-15 |
| 1750517918 | Shawna Lynn Harris | Dentist | 2520 N 14th Ave, Dodge City, KS 67801-2315 | 2009-06-02 |
| 1831219476 | Shawna L. Harris D.d.s.,p.a | Dentist | 2520 N 14th Ave, Dodge City, KS 67801-2315 | 2007-03-29 |
| 1184720096 | David L Wolf | Optometrist | 2520 N 14th Ave, Dodge City, KS 67801-2315 | 2006-09-16 |
| 1104922020 | Robert O Hatfield | Optometrist | 2520 N 14th Ave, Dodge City, KS 67801-2315 | 2006-09-16 |
| 1023124989 | Jordan E Gwaltney | Optometrist | 2520 N 14th Ave, Dodge City, KS 67801-2315 | 2006-08-22 |
| 1073523304 | Thomas Lee Anderson | Optometrist | 2520 N 14th Ave, Dodge City, KS 67801-2315 | 2006-08-09 |
| 1205807401 | Timothy Ray Mcmann | Dentist | 2520 N 14th Ave, Dodge City, KS 67801-2315 | 2006-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598294589 | Jeremy L Luthi | Physical Therapist | 2200 Summerlon Circle, Suite D, Dodge City, KS 67801 | 2017-06-05 |
| 1851796635 | Larry Martin | Pharmacist | 1700 N 14th, Dodge City, KS 67801 | 2014-10-23 |
| 1588934038 | Janet R Giefer | Occupational Therapy Assistant | 510 W Frontview, Dodge City, KS 67801 | 2011-12-30 |
| 1982855565 | Sandra M Herder | Nurse Practitioner | 100 Ross Blvd Suite 2a, Dodge City, KS 67801 | 2008-10-01 |
| 1689820300 | Gloria Andrade | Counselor | 207 W Spruce, Dodge City, KS 67801 | 2008-08-13 |
| 1396957213 | F Rodney Copeland | Optometrist | 2405 Central, Dodge City, KS 67801 | 2007-05-04 |
| 1881710879 | Kathleen Joan Warner-long | Counselor | 506 Avenue L, Dodge City, KS 67801 | 2007-03-21 |
| 1396884961 | Kansas Soldiers Home | Skilled Nursing Facility | 201 Custer, Fort Dodge, KS 67801 | 2007-02-06 |
| 1083774954 | Sherron S Mcreynolds | Registered Nurse | 101 Plaza Terrace, Dodge City, KS 67801 | 2006-12-11 |
| 1477621159 | Dodge City Dental Care | Dentist | 2300 N 14th Street, Suite 202, Dodge City, KS 67801 | 2006-12-01 |
| Find all providers in zip 67801 | ||||
| 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 |
|---|---|---|---|---|
| 1396957213 | F Rodney Copeland | Optometrist | 2405 Central, Dodge City, KS 67801 | 2007-05-04 |
| 1629050224 | Frank Rodney Copeland | Optometrist | 2405 Central Ave, Dodge City, KS 67801-6206 | 2005-11-18 |
| 1255335808 | Richard L Roenfeldt | Optometrist | 2020 1st Ave, Dodge City, KS 67801-2623 | 2005-06-10 |
| 1487216131 | Katherine Nicole Bruns | Optometrist | 208 W Ross Blvd, Dodge City, KS 67801-2103 | 2019-07-02 |
| 1134659782 | Melissa Nicole Cole | Optometrist | 2520 N 14th Ave, Dodge City, KS 67801 | 2017-06-15 |
| 1295993418 | Great Plains Vision LLC | Optometrist | 2010 Central Ave, Dodge City, KS 67801-6442 | 2008-05-23 |
| 1255507448 | Christensen Eyecare, P.a. | Optometrist | 1905 N 14th Ave, Dodge City, KS 67801-2304 | 2008-05-07 |
| 1235359555 | Vierthaler Kessen Optometry, LLC | Optometrist | 208 W Ross Blvd, Suite A, Dodge City, KS 67801 | 2007-04-27 |
| 1184720096 | David L Wolf | Optometrist | 2520 N 14th Ave, Dodge City, KS 67801-2315 | 2006-09-16 |
| 1104922020 | Robert O Hatfield | Optometrist | 2520 N 14th Ave, Dodge City, KS 67801-2315 | 2006-09-16 |
| Find all providers in DODGE CITY | ||||
| City | DODGE CITY |
| Zip Code | 67801 |
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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.