Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jeremy Russell Gardner, OD

Individual provider Optometrist · NPI 1710503412

Dr. Jeremy Russell Gardner, OD is an Optometrist in Wichita, Kansas. Works from 2 locations. Licensed in Arizona and Kansas.

Licensed in
AZ, KS
In the registry since
2020
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

746 N Maize Rd Ste 100
Wichita, KS 67212-4571
Phone: (316) 665-7647
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 746 N Maize Rd Ste 100, Wichita, KS 67212-4571 — (316) 252-0095

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2117 (KS)
Optometrist Taxonomy 152W00000X · Licence OPT-002433 (AZ)

Record details

NPI number1710503412
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJune 18, 2020
Last updated in NPPESJuly 14, 2020
Certification dateJuly 14, 2020

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