Individual provider Active NPI

Kamey Kapp, O.D.

  • Optometrist
  • Nome, AK
National Provider Identifier
1013172584
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
275 Issued in AK
Practice address
309 Bering Street
#1049
Nome, AK 99762
Phone
(907) 443-3553
Fax
(844) 901-4313
NPI assigned
Jul 24, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 275 AK Primary

Addresses

Primary practice location

309 Bering Street
#1049
Nome, AK 99762

Mailing address

309 Bering Street
#1049
Nome, AK 99762
Phone (907) 443-3553

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
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

Enrollment IDStateProvider typePAC IDDetails
I20100602000500 AK Practitioner - Optometry 8527197474 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Last Frontier Eye CareGroup PAC ID 1850702325, 2 clinicians

Practice addresses (Care Compare)

309 Bering St
Nome, AK 99762
Phone (907) 443-3553

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
275AKMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tundra Health Initiative Corp Optometrist CurrentSince May 21, 2023 Accepting new patients
Last Frontier Eye Care Optometrist CurrentSince Feb 1, 2021 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1013172584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 BERING STREET",
            "address_2": "#1049",
            "city": "NOME",
            "state": "AK",
            "postal_code": "99762",
            "telephone_number": "907-443-3553",
            "fax_number": "844-901-4313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 BERING STREET",
            "address_2": "#1049",
            "city": "NOME",
            "state": "AK",
            "postal_code": "99762",
            "telephone_number": "907-443-3553",
            "fax_number": "844-901-4313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPP",
        "first_name": "KAMEY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-24",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AK",
            "license": "275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nome, AK

Sources for this page

Verify at the official NPI Registry.