DR. AMY RENEE GOERTZ (NPI# 1881680270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881680270 |
| Entity Type | Individual |
| Full Name | DR. AMY RENEE GOERTZ |
| Credential | O.D. |
| Practice Address |
12111 W Maple St Ste 125 Wichita KS 67235-8756 |
| Mailing Address |
11621 W 17th St N Wichita KS 67212-6968 |
| Practice Telephone | 3168320088 |
| Practice Fax Number | 3168320029 |
| Mailing Telephone | 3162609736 |
| Mailing Fax Number | 3168320029 |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2012-08-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1683 | KS | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 200277350A | 05 |
| Street Address |
12111 W MAPLE ST STE 125 |
| City | WICHITA |
| State | KS |
| Zip Code | 67235-8756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427526821 | Wichita Optometry, P.a. | Optometrist | 12111 W Maple St Ste 125, Wichita, KS 67235-8756 | 2018-11-05 |
| 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 | 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 |
|---|---|---|---|---|
| 1114544392 | Diana Ho | Optometrist | 980 Oliver Street, Wichita, KS 67218 | 2020-07-03 |
| 1861040909 | Larisa Rivera | Optometrist | 949 S Glendale St, Wichita, KS 67218-3210 | 2019-09-02 |
| 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 |
| 1710463500 | Macey Pruett | Optometrist | 982 N Tyler Rd Ste A, Wichita, KS 67212-3271 | 2018-07-14 |
| 1295116333 | Jedediah Reece | Optometrist | 7570 W 21st St N Ste 1002, Wichita, KS 67205-1763 | 2015-06-15 |
| 1093121097 | The Eye Gallery, LLC | Optometrist | 3084 N. Maize Rd, Wichita, KS 67205 | 2014-07-10 |
| 1427498047 | Vanlang Q Huynh | Optometrist | 7700 E Kellogg Dr Ste 703a, Wichita, KS 67207-1787 | 2013-06-27 |
| 1063790145 | Megan Nichole Baldwin | Optometrist | 2146 N Collective Ln, 110, Wichita, KS 67206-3573 | 2011-07-24 |
| 1649578402 | Lentz Enterprises, LLC | Optometrist | 670 E 47th St S, Wichita, KS 67216-1769 | 2011-03-03 |
| 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.