MEDICARE: DR. AMY RENEE GOERTZ O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	1683	KS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1881680270
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMY RENEE GOERTZ O.D.

Provider Business Mailing Address
First Line	:	11621 W 17TH ST N
Second Line	:
City	:	WICHITA
State	:	KS
Zip	:	67212-6968
Country	:	US
Telephone Number	:	316-260-9736
Fax Number	:	316-832-0029

Provider Business Practice Location Address
First Line	:	12111 W MAPLE ST STE 125
Second Line	:
City	:	WICHITA
State	:	KS
Zip	:	67235-8756
Country	:	US
Telephone Number	:	316-832-0088
Fax Number	:	316-832-0029

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/21/2005
Last Update Date	:	08/09/2012

Similar Medicare Providers

1194910869 — KATER OPTOMETRIC SERVICES LLC
Practice Location Address:

1211 W MAPLE , SUITE 125
WICHITA, KS
67235-8756

Practice Phone: 316-832-0026
Practice Fax: 316-832-0029

1790074177 — DR. STEVEN PAUL HOWARD D.C.
Practice Location Address:

12111 W MAPLE ST STE 101
WICHITA, KS
67235-8756

Practice Phone: 316-337-5757
Practice Fax: 316-337-5758

1427526821 — WICHITA OPTOMETRY, P.A.
Practice Location Address:

12111 W MAPLE ST STE 125
WICHITA, KS
67235-8756

Practice Phone: 316-942-7496
Practice Fax: 316-239-2557

1033111281 — MS. BETTY KEPLER SKINNER LSCSW, ACSW
Practice Location Address:

2135 N SUNRIDGE ST
WICHITA, KS
67235-1503

Practice Phone: 316-201-1080
Practice Fax: 316-201-1085

1679556955 — TRAVIS D HUBIN DO
Practice Location Address:

13213 W 21ST ST N
WICHITA, KS
67235-9625

Practice Phone: 316-945-0142
Practice Fax:

1407818891 — ROSE E. WUSTERBARTH PA-C
Practice Location Address:

14700 W SAINT TERESA ST STE 300
WICHITA, KS
67235-9630

Practice Phone: 316-274-9450
Practice Fax:

Directions to “ DR. AMY RENEE GOERTZ O.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.