Jonathan D Reddell (NPI# 1982982013, PAC ID# 1951573856) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1982982013 |
| PAC ID by PECOS | 1951573856 |
| Professional Enrollment ID | I20111019000679 |
| Full Name | Jonathan D Reddell |
| Organization Legal Name | FAMILY EYECARE CENTER OF BONNER SPRINGS LLC |
| Address |
13047 Kansas Ave Bonner Springs KS 66012-9206 |
| Phone Number | 9135354036 |
| Gender | M |
| Medical School | SOUTHERN COLLEGE OF OPTOMETRY |
| Graduation Year | 2011 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 5294039236 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 13047 Kansas Ave, Bonner Springs, KS 66012-9206 | 9135354036 | FAMILY EYECARE CENTER OF BONNER SPRINGS LLC |
| 21 N 12th St, Suite 102, Kansas City, KS 66102-5172 | 9133424405 | WYANDOTTE FAMILY EYECARE CENTER, LLC |
| 2301 10th Ave, Leavenworth, KS 66048-4214 | 9136822929 | NORRIS AND KELLY, P.A. |
| Organization Legal Name | FAMILY EYECARE CENTER OF BONNER SPRINGS LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kyle Kelly | Optometry | Family Eyecare Center of Bonner Springs LLC | 13047 Kansas Ave, Bonner Springs, KS 66012-9206 |
| Matthew A Siemer | Optometry | Family Eyecare Center of Bonner Springs LLC | 13047 Kansas Ave, Bonner Springs, KS 66012-9206 |
| Ashley E Reddell | Optometry | Family Eyecare Center of Bonner Springs LLC | 13047 Kansas Ave, Bonner Springs, KS 66012-9206 |
| Kimberly E Hackworth | Optometry | Family Eyecare Center of Bonner Springs LLC | 13047 Kansas Ave, Bonner Springs, KS 66012-9206 |
| Street Address |
13047 KANSAS AVE |
| City | BONNER SPRINGS |
| State | KS |
| Zip | 66012-9206 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kyle Kelly | Optometry | Family Eyecare Center of Bonner Springs LLC | 13047 Kansas Ave, Bonner Springs, KS 66012-9206 |
| Matthew A Siemer | Optometry | Family Eyecare Center of Bonner Springs LLC | 13047 Kansas Ave, Bonner Springs, KS 66012-9206 |
| Ashley E Reddell | Optometry | Family Eyecare Center of Bonner Springs LLC | 13047 Kansas Ave, Bonner Springs, KS 66012-9206 |
| Kimberly E Hackworth | Optometry | Family Eyecare Center of Bonner Springs LLC | 13047 Kansas Ave, Bonner Springs, KS 66012-9206 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas Lee Anderson | Optometry | Smithville Eye Center LLC | 116 Cedar Ave, Bonner Springs, KS 66012-1016 |
| Matthew David Callewaert | Optometry | Smithville Eye Center LLC | 116 Cedar Ave, Bonner Springs, KS 66012-1016 |
| Gregory Karl Gomer | Chiropractic | 216 E 2nd St, Bonner Springs, KS 66012-1061 | |
| Gary K Forshee | Chiropractic | 16176 Evans Rd, Basehor, KS 66012-7182 | |
| Michael J Teeple | Chiropractic | Teeple Chiropractic Clinic, Inc. | 15604 Pinehurst Dr, 3a, Bonner Springs, KS 66012-8234 |
| Nathan Edward Church | Physical Therapy | Serc Rehabilitation Partners LLC | 13035 Kansas Ave, Bonner Springs, KS 66012-9206 |
| Jacqueline L Puno | Physical Therapy | Serc Rehabilitation Partners LLC | 13035 Kansas Ave, Bonner Springs, KS 66012-9206 |
| Elizabeth A Daze | Physical Therapy | Serc Rebabilitation Partners, LLC | 13035 Kansas Ave, Bonner Springs, KS 66012-9206 |
| Julie M Mcdaniel | Physical Therapy | Serc Rebabilitation Partners, LLC | 13035 Kansas Ave, Bonner Springs, KS 66012-9206 |
| Kelly M Svitak | Chiropractic | Pure Movement Integrated Health Center LLC | 13100 Kansas Ave H, Bonner Springs, KS 66012-9296 |
| Find all physicians in zip 66012 | |||
| City | BONNER SPRINGS |
| Zip Code | 66012 |
| Specialty | OPTOMETRY |
| City + Specialty | BONNER SPRINGS + OPTOMETRY |
Please comment or provide details below to improve the information on Jonathan D Reddell.
| 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.