DR. BRADLEY R WIMMER (NPI# 1699700807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699700807 |
| Entity Type | Individual |
| Full Name | DR. BRADLEY R WIMMER |
| Credential | O.D. |
| Practice Address |
411 E Centennial Dr Pittsburg KS 66762-6505 |
| Practice Telephone | 6202321005 |
| Practice Fax Number | 6202315821 |
| Mailing Telephone | 6202321005 |
| Mailing Fax Number | 6202315821 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2014-10-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1270-02 | KS | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100219350B | 05 |
| Street Address |
411 E CENTENNIAL DR |
| City | PITTSBURG |
| State | KS |
| Zip Code | 66762-6505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972909679 | Kimberly Balk | Technician/Technologist | 411 E Centennial Dr, Pittsburg, KS 66762-6505 | 2014-11-07 |
| 1962517136 | Wimmer P.a. | Optometrist | 411 E Centennial Dr, Pittsburg, KS 66762-6505 | 2006-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578172250 | Mallory Kate Revell | Student in an Organized Health Care Education/Training Program | 1701 S Broadway S, Irene Ransom Bradley School of Nursing, Psu, Pittsburg, KS 66762 | 2020-07-28 |
| 1245849967 | Shelbie Cosby | Student in an Organized Health Care Education/Training Program | 1701 S. Broadway St, Irene Ransom Bradley School of Nursing, Pittsburg, KS 66762 | 2020-07-28 |
| 1679103642 | Jessica Crager | Nurse Practitioner | 2401 S Tucker Terr, Ste 1, Pittsburg, KS 66762 | 2020-01-18 |
| 1376198226 | Apollo Services Inc | Durable Medical Equipment & Medical Supplies | 2505 S Springdale, Pittsburg, KS 66762 | 2019-08-07 |
| 1851885719 | Chelsea Duncan | Social Worker | 911 E Centennial, Pittsburg, KS 66762 | 2018-06-14 |
| 1902395858 | Alexandria Winter | Specialist/Technologist | 1701 S Homer Street, Pittsburg, KS 66762 | 2018-05-07 |
| 1811419633 | Troy Richard Quenzer | Specialist/Technologist | 1701 S Homer St, 213 Weede Phys Ed Bldg, Pittsburg, KS 66762 | 2017-07-13 |
| 1356727002 | John Klodt | Social Worker | 902 E Centennial Dr Apt 13a, Pittsburg, KS 66762 | 2015-08-05 |
| 1295120533 | Christine E. Conner | Nurse Practitioner | 1 Mt. Carmel Way, 2nd Floor, East, Pittsburg, KS 66762 | 2015-04-03 |
| 1700278983 | Performance Spine & Sport LLC | Chiropractor | 2597 S. Broadway Suite A, Pittsburg, KS 66762 | 2015-02-25 |
| Find all providers in zip 66762 | ||||
| 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 |
|---|---|---|---|---|
| 1508218025 | Christine Sager | Optometrist | 4411 Century Blvd, Pittsburg, CA 94565-7114 | 2016-07-08 |
| 1053713552 | Philip R. Mill, Od and Michael D. Sutton, Od Inc. | Optometrist | 3715 Railroad Ave Ste C, Pittsburg, CA 94565-5236 | 2014-09-16 |
| 1811168594 | California Eye Clinic | Optometrist | 2260 Gladstone Dr Ste 3, Pittsburg, CA 94565-5125 | 2008-03-20 |
| 1104022110 | Michael Douglas Sutton | Optometrist | 2203 Loveridge Road, Pittsburg, CA 94565-5021 | 2007-06-26 |
| 1669515169 | May-may Chan | Optometrist | 4241 Century Blvd., Pittsburg, CA 94565-7113 | 2007-02-14 |
| 1033251665 | Janice Tarrant | Optometrist | 4241 Century Blvd, Pittsburg, CA 94565-7113 | 2007-02-12 |
| 1841338696 | Kenneth Wayne Brooks | Optometrist | 2305 S Tucker St, Pittsburg, KS 66762-6530 | 2007-02-02 |
| 1386746857 | Keith Allen Mallatt | Optometrist | 301 N Broadway St, Pittsburg, KS 66762-4806 | 2006-09-03 |
| 1306865282 | Paul J Niegsch Od LLC | Optometrist | 101 N Broadway St Ste A, Pittsburg, KS 66762-4804 | 2006-07-19 |
| 1891772489 | Shane R Kannarr | Optometrist | 2521 N Broadway St, Pittsburg, KS 66762-2620 | 2005-12-27 |
| Find all providers in PITTSBURG | ||||
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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.