MEDICARE: STEVEN A. KUHL OD, LLC

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

General Provider Information

NPI Number	:	1831859347
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEVEN A. KUHL OD, LLC

Provider Business Mailing Address
First Line	:	1851 N WEBB RD
Second Line	:
City	:	WICHITA
State	:	KS
Zip	:	67206-3413
Country	:	US
Telephone Number	:	316-609-2150
Fax Number	:	316-858-3830

Provider Business Practice Location Address
First Line	:	1812 S SENECA
Second Line	:	SUITE 402
City	:	WICHITA
State	:	KS
Zip	:	67213-4102
Country	:	US
Telephone Number	:	316-613-2033
Fax Number	:	316-613-2237

Authorized Official
Title or Position	:	CHIEF PROFESSIONAL OFFICER
Name	:	JAMES WACHTER
Credential	:	O.D.
Telephone Number	:	636-227-2600

Provider Enumeration Date	:	12/23/2021
Last Update Date	:	12/23/2021

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