Christopher J Jacquinot, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1777 Issued in KS

Practice address

2521 N Broadway St
Pittsburg, KS 66762-2620

Phone

(620) 235-1737

Fax

(620) 230-0358

NPI assigned

Jul 24, 2007

Last updated

Sep 26, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

University of Missouri St Louis - School of Optometry, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kannarr Eye Care LLCGroup PAC ID 4688720790, 6 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Networks

• devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d
• devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
• devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20807/brand/4/csg/1/fhir/r4
• FHIR API: https://fhir-myrecord.cerner.com/r4/79a09fdd-d4ce-4b27-b1e2-f7fe68705a34/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kannarr Eye Care, LLC

  dba Kannarr Eye Care

  • Optometrist
  • Pittsburg, KS
  • NPI 1629209051
  Medicare reassignment Care Compare group
• Wimmer P.a.

  • Optometrist
  • Pittsburg, KS
  • NPI 1962517136
  NPD (past)
• Gracie Chase Avery, LLC

  dba 4States Vision Express

  • Optometrist
  • Joplin, MO
  • NPI 1003320607
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348617600000",
    "number": "1003016361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W 29TH ST",
            "address_2": "SUITE G",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667622696",
            "telephone_number": "620-235-1737",
            "fax_number": "620-230-0358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 N BROADWAY ST",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667622620",
            "telephone_number": "620-235-1737",
            "fax_number": "620-230-0358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACQUINOT",
        "first_name": "CHRISTOPHER",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-24",
        "last_updated": "2012-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessilyn Ranae Humble, M.D.
• Alicia Dawn Humes Bishop, LSCSW
• Amber D Hunziker, APRN
• Stacy Hutchins, PTA
• Jacqueline S Orender DO LLC
• Shawn Patrick James, MS, RD, LD
• Sara Elizabeth Jarrett, LSCSW
• Alexis Marie Jenkins
• Christine Faye Jenkins, LMSW
• Kyra Dawn Jent, APRN FNP

• Optometrist in Pittsburg, KS
• Providers in Pittsburg, KS by specialty
• Optometrist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.