P JOE JITTAWAIT (NPI# 1992770564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992770564 |
| Entity Type | Individual |
| Full Name | P JOE JITTAWAIT |
| Credential | OD |
| Practice Address |
1851 N Webb Rd Wichita KS 67206-3413 |
| Mailing Address |
1851 N Webb Rd Attn Flr2 Wichita KS 67206-3413 |
| Practice Telephone | 3166362010 |
| Practice Fax Number | 3168583830 |
| Mailing Telephone | 3166362010 |
| Mailing Fax Number | 3168583830 |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2008-02-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1569 | KS | Eye and Vision Services Providers |
| Street Address |
1851 N WEBB RD |
| City | WICHITA |
| State | KS |
| Zip Code | 67206-3413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285627562 | Grene Vision Group LLC | Ophthalmology | 1851 N Webb Rd, Wichita, KS 67206-3413 | 2005-08-23 |
| 1467841494 | Welleyes | Ophthalmology | 1851 N Webb Rd, Wichita, KS 67206-3413 | 2015-01-14 |
| 1235417510 | Ashley Rochelle Carson | Optometrist | 1851 N Webb Rd, Wichita, KS 67206-3413 | 2011-08-03 |
| 1538325832 | Trevor Ruel Askew | Optometrist | 1851 N Webb Rd, Wichita, KS 67206-3413 | 2008-08-06 |
| 1982671806 | Douglas K Blackman | Optometrist | 1851 N Webb Rd, Wichita, KS 67206 | 2006-03-01 |
| 1497720296 | Robert Bruce Grene | Ophthalmology | 1851 N Webb Rd, Wichita, KS 67206-3413 | 2006-02-23 |
| 1023084878 | Robin L Agpoon | Optometrist | 1851 N Webb Rd, Wichita, KS 67206-3413 | 2006-02-23 |
| 1134194335 | Cheryl A Mcguire | Optometrist | 1851 N Webb Rd, Wichita, KS 67206-3413 | 2006-02-21 |
| 1508831710 | Mark L Wellemeyer | Ophthalmology | 1851 N Webb Rd, Wichita, KS 67206-3413 | 2006-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760020846 | Founders Surgery Center, LLC | Clinic/Center | 1961 N Founders Circle, Wichita, KS 67206 | 2019-12-19 |
| 1174006613 | Courtney Dawn Simon | Physical Therapist | 9360 E Central Ave Ste 100, Wichita, KS 67206 | 2018-09-11 |
| 1902308919 | Center At Waterfront LLC | Skilled Nursing Facility | 1541 North Lindberg Circle, Wichita, KS 67206 | 2018-03-06 |
| 1750804597 | Katelyn Aguiar | Psychologist | 250 N Rock Rd Ste 210, Wichita, KS 67206 | 2017-07-24 |
| 1457888778 | Mona Kay Cherryholmes | Social Worker | 1223 N. Rock Rd, Bldg A. Suite 100, Wichita, KS 67206 | 2017-05-17 |
| 1164899415 | Elizabeth Herl | Marriage & Family Therapist | 250 N Rock Rd Ste 150, Wichita, KS 67206 | 2015-08-21 |
| 1851715510 | Ndjj Corp | Custodial Care Facility | 6403 E Marjore, Wichita, KS 67206 | 2014-02-14 |
| 1801238217 | Courtney Ann Lang | Physical Therapist | 1603 North Chapel Hill Street, Suite 400, Wichita, KS 67206 | 2013-07-26 |
| 1194063032 | Peak Performance Health Pa | Chiropractor | 10111 E 21st St, #106, Wichita, KS 67206 | 2013-01-28 |
| 1750629002 | Rachel Marie Conrad | Speech-Language Pathologist | 1861 N. Rock Rd, Ste 101, Wichita, KS 67206 | 2013-01-22 |
| Find all providers in zip 67206 | ||||
| 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.