DR. KENDRA NICHOLE CUNEGIN (NPI# 1952601544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952601544 |
| Entity Type | Individual |
| Full Name | DR. KENDRA NICHOLE CUNEGIN |
| Credential | O.D. |
| Practice Address |
7747 W Jefferson Blvd Suite A Fort Wayne IN 46804-4135 |
| Mailing Address |
Po Box 549 Wabash IN 46992-0549 |
| Practice Telephone | 2604598444 |
| Practice Fax Number | 2604598443 |
| Mailing Telephone | 2605699550 |
| Mailing Fax Number | 2605690760 |
| Enumeration Date | 2010-10-28 |
| Last Update Date | 2014-04-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 18003830 | IN | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201213330 | 05 |
| Street Address |
7747 W JEFFERSON BLVD SUITE A |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46804-4135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982690566 | Randal K Hughes | Ophthalmology | 7747 W Jefferson Blvd, Suite A, Fort Wayne, IN 46804 | 2005-09-20 |
| 1588923098 | Midwest Eye Consultants, P.C. | Ophthalmology | 7747 W Jefferson Blvd, Suite A, Fort Wayne, IN 46804-4135 | 2012-05-04 |
| 1093778052 | Midwest Eye Consultants, P.C. | Clinic/Center | 7747 W Jefferson Blvd, Suite B, Fort Wayne, IN 46804-4135 | 2006-04-10 |
| 1538122593 | Eugene J. Mcgarvey IIi | Optometrist | 7747 W Jefferson Blvd, Suite A, Fort Wayne, IN 46804 | 2006-04-10 |
| 1912960535 | Midwest Eye Consultants, P.C. | Ophthalmology | 7747 W Jefferson Blvd, Suite A, Fort Wayne, IN 46804-4135 | 2006-04-07 |
| 1770546228 | Ronald K Norlund | Optometrist | 7747 W Jefferson Blvd, Suite A, Fort Wayne, IN 46804 | 2006-04-07 |
| 1447232806 | Scott C Richards | Ophthalmology | 7747 W Jefferson Blvd, Suite A, Fort Wayne, IN 46804 | 2005-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396350344 | Derek Mumaw | Physical Therapist | 8420 Illinois Rd, Fort Wayne, IN 46804 | 2020-09-15 |
| 1942840228 | Erin M Mason | Behavior Technician | 5601 Coventry Ln, Fort Wayne, IN 46804 | 2020-01-14 |
| 1346880879 | Emily A Abdalla | Behavior Technician | 5601 Coventry Ln., Fort Wayne, IN 46804 | 2020-01-13 |
| 1083265433 | Fort Wayne Endodontics | Dentist | 9407 Illinois Rd, Fort Wayne, IN 46804 | 2019-09-26 |
| 1689140949 | Harrison Dental Group II, LLC | Dentist | 1333 Getz Rd, Fort Wayne, IN 46804 | 2018-10-15 |
| 1346731908 | Erin Nicole Zimmerman | Nurse Practitioner | 10170 Illinois Rd # 14, Fort Wayne, IN 46804 | 2018-05-19 |
| 1417446022 | Mary Harrington | Physical Therapist | 3320 Copper Hill Run, Fort Wayne, IN 46804 | 2018-05-09 |
| 1942701214 | Joshawa Todd Torres | Marriage & Family Therapist | 5651 Coventry Ln # 116, Fort Wayne, IN 46804 | 2018-02-22 |
| 1194235408 | Mitchell Kory Meyer | Specialist/Technologist | 9125 Yellow Tree Ct, Fort Wayne, IN 46804 | 2017-10-02 |
| 1902324916 | Emily Rene Sagstetter | Specialist/Technologist | 6034 Liberty Glade Ct, Fort Wayne, IN 46804 | 2017-08-30 |
| Find all providers in zip 46804 | ||||
| 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 |
|---|---|---|---|---|
| 1164046967 | Dr Bennett LLC | Optometrist | 1850 E Dupont Rd, Fort Wayne, IN 46825-1581 | 2020-06-08 |
| 1043737737 | Eyecare Express | Optometrist | 4826 Illinois Rd, Fort Wayne, IN 46804-1166 | 2017-08-24 |
| 1760906135 | Brittany Hoolsema | Optometrist | 2121 Lake Ave # 112b, Fort Wayne, IN 46805-5100 | 2017-07-27 |
| 1801326533 | Kimberly M Kindt | Optometrist | 9426 Lima Rd Ste C, Fort Wayne, IN 46818 | 2017-06-15 |
| 1083003008 | Midwest Eye Consultants, P.C. | Optometrist | 1601 E Paulding Rd, Fort Wayne, IN 46816-1204 | 2015-01-14 |
| 1437494143 | Fort Wayne Vision Associates Ltd | Optometrist | 515 E Coliseum Blvd, Fort Wayne, IN 46805-1215 | 2012-12-06 |
| 1033453220 | Daniel & Max | Optometrist | 409 E Coliseum Blvd, Fort Wayne, IN 46805-1004 | 2012-11-12 |
| 1205114006 | Ryan Feichtner | Optometrist | 700 E Coliseum Blvd, Fort Wayne, IN 46805-1220 | 2011-07-27 |
| 1760786503 | C J Pataluch Od PC | Optometrist | 5659 Coventry Ln, Fort Wayne, IN 46804-7145 | 2011-01-10 |
| 1841436532 | James H Pennington Od | Optometrist | 6421 Georgetown North Blvd, Fort Wayne, IN 46815-7007 | 2008-12-30 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46804 |
Please comment or provide details below to improve the information on DR. KENDRA NICHOLE CUNEGIN.
| 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.