Amanda S Longoria (NPI# 1073034021, PAC ID# 3072885342) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1073034021 |
| PAC ID by PECOS | 3072885342 |
| Professional Enrollment ID | I20170821003472 |
| Full Name | Amanda S Longoria |
| Organization Legal Name | LENTZ ENTERPRISES, LLC |
| Address |
1223 N Rock Rd Bldg C Wichita KS 67206-1277 |
| Phone Number | 3166342020 |
| Gender | F |
| Medical School | UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY |
| Graduation Year | 2017 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 9830131861 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1223 N Rock Rd Bldg C, Wichita, KS 67206-1277 | 3166342020 | LENTZ ENTERPRISES, LLC |
| Organization Legal Name | LENTZ ENTERPRISES, LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas R Lentz | Optometry | Lentz Enterprises, LLC | 120 W 6th St, Suite 185, Newton, KS 67114-2150 |
| Kathryn J Hamm | Optometry | Lentz Enterprises, LLC | 1223 N Rock Rd Bldg C, Wichita, KS 67206-1277 |
| Jennie L Kutschka | Optometry | Lentz Enterprises, LLC | 1223 N Rock Rd Bldg C, Wichita, KS 67206-1277 |
| Dajana Komadina Seiler | Optometry | Lentz Enterprises, LLC | 3730 N Ridge Rd, Suite 400, Wichita, KS 67205-1228 |
| Street Address |
1223 N ROCK RD BLDG C |
| City | WICHITA |
| State | KS |
| Zip | 67206-1277 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathryn J Hamm | Optometry | Lentz Enterprises, LLC | 1223 N Rock Rd Bldg C, Wichita, KS 67206-1277 |
| Jennie L Kutschka | Optometry | Lentz Enterprises, LLC | 1223 N Rock Rd Bldg C, Wichita, KS 67206-1277 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jed D Holmes | Family Medicine | Primary Care Associates, LLC | 7111 E 21st St N A, Wichita, KS 67206-1078 |
| Yeni Chavez-rodriguez | Physician Assistant | Primary Care Associates, LLC | 7111 E 21st St N A, Wichita, KS 67206-1078 |
| Charlene C Bui | Physician Assistant | Primary Care Associates, LLC | 7111 E 21st St N A, Wichita, KS 67206-1078 |
| Sandra L Martens | Registered Dietitian Or Nutrition Professional | Primary Care Associates, LLC | 7111 E 21st St N A, Wichita, KS 67206-1078 |
| Thanh N Truong | Internal Medicine | Primary Care Associates, LLC | 7111 E 21st St N A, Wichita, KS 67206-1078 |
| Angela M Leiker | Family Medicine | Primary Care Associates, LLC | 7111 E 21st St N A, Wichita, KS 67206-1078 |
| Darla K Rivera | Family Medicine | Primary Care Associates, LLC | 7111 E 21st St N A, Wichita, KS 67206-1078 |
| David M Netherton | Family Medicine | Primary Care Associates, LLC | 7111 E 21st St N A, Wichita, KS 67206-1078 |
| Claudia Ximena Wendell | Family Medicine | Primary Care Associates, LLC | 7111 E 21st St N A, Wichita, KS 67206-1078 |
| Jason T Tauke | Cardiovascular Disease (cardiology) | Jason T Tauke Md Pa | 7111 E 21st St N A, Primary Care Associates, Wichita, KS 67206-1078 |
| Find all physicians in zip 67206 | |||
| City | WICHITA |
| Zip Code | 67206 |
| Specialty | OPTOMETRY |
| City + Specialty | WICHITA + OPTOMETRY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.