Provider Demographics
NPI:1174639975
Name:KESSLER EYECARE PA
Entity type:Organization
Organization Name:KESSLER EYECARE PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:L
Authorized Official - Last Name:KESSLER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:913-438-1543
Mailing Address - Street 1:3080 N MAIZE RD STE 200
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67205-7405
Mailing Address - Country:US
Mailing Address - Phone:316-946-0105
Mailing Address - Fax:316-946-0145
Practice Address - Street 1:3080 N MAIZE RD STE 200
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67205-7405
Practice Address - Country:US
Practice Address - Phone:316-946-0105
Practice Address - Fax:316-946-0145
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-22
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS650702KEMedicare ID - Type UnspecifiedGROUP #