Provider Demographics
NPI:1699978890
Name:RONALD KUEHL, OD
Entity type:Organization
Organization Name:RONALD KUEHL, OD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:KUEHL
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:715-341-5088
Mailing Address - Street 1:1324 CENTERPOINT DR
Mailing Address - Street 2:
Mailing Address - City:STEVENS POINT
Mailing Address - State:WI
Mailing Address - Zip Code:54481-2807
Mailing Address - Country:US
Mailing Address - Phone:715-341-5088
Mailing Address - Fax:
Practice Address - Street 1:1324 CENTERPOINT DR
Practice Address - Street 2:
Practice Address - City:STEVENS POINT
Practice Address - State:WI
Practice Address - Zip Code:54481-2807
Practice Address - Country:US
Practice Address - Phone:715-341-5088
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-06
Last Update Date:2010-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1334152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WIT62504Medicare UPIN
WI0414070001Medicare NSC