Kevin Douglas Komm, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

VUT004540 Issued in NY

Practice address

900 Center St
Lewiston, NY 14092-1737

Phone

(716) 754-2555

Fax

(716) 754-8650

NPI assigned

Jul 7, 2005

Last updated

Feb 28, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in NY

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

Pennsylvania College of Optometry, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hannah Medwin Zellner, OD

  • Optometrist
  • Amherst, NY
  • NPI 1750909800
  Medicare reassignment

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.

• Kevin D. Komm,OD

  • Optometrist
  • Lewiston, NY
  • NPI 1487279667
  NPD Authorized official
• Niagara Labmasters

  • Durable Medical Equipment & Medical Supplies
  • Tonawanda, NY
  • NPI 1144408063
  NPD (past)
• Niagara Labmasters, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Niagara Falls, NY
  • NPI 1558549477
  NPD (past)

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330387200000",
    "number": "1013914894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 SUNDOWN TRL",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142212202",
            "telephone_number": "716-689-9534",
            "fax_number": "716-689-9534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 CENTER ST",
            "city": "LEWISTON",
            "state": "NY",
            "postal_code": "140921737",
            "telephone_number": "716-754-2555",
            "fax_number": "716-754-8650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOMM",
        "first_name": "KEVIN",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2012-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT004540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY BLUE",
            "identifier": "003900255",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENTENT HEALTH",
            "identifier": "7209530",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "NY4540",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLE MANAGED CARE",
            "identifier": "32212",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "000102319-01",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jude S Violante DPM
• Janet Elizabeth Karnes, RPH
• Russell John Keegan, DC
• Kevin D. Komm,OD
• Nicole Michelle King, DPT
• Megan Kosmoski, RN
• Maria Kovaleva, MD
• Cheryl Ann Krouse, LMT
• Michele Lauren Kujawa, DPT
• Ronald William Laduca

• Optometrist in Lewiston, NY
• Providers in Lewiston, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.