Provider Demographics
NPI:1710194832
Name:RONALD L. FIEGEL, O.D., P.A.
Entity Type:Organization
Organization Name:RONALD L. FIEGEL, O.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:L
Authorized Official - Last Name:FIEGEL
Authorized Official - Suffix:
Authorized Official - Credentials:OD, PA
Authorized Official - Phone:316-729-8900
Mailing Address - Street 1:2230 N RIDGE RD
Mailing Address - Street 2:SUITE E
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67205-1053
Mailing Address - Country:US
Mailing Address - Phone:316-729-8900
Mailing Address - Fax:316-729-9824
Practice Address - Street 1:2230 N RIDGE RD
Practice Address - Street 2:SUITE E
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67205-1053
Practice Address - Country:US
Practice Address - Phone:316-729-8900
Practice Address - Fax:316-729-9824
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-17
Last Update Date:2008-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS017093Medicare PIN
KST71291Medicare UPIN
KS0342550001Medicare NSC