Kenneth Patrick Wenthen III, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV008325 Issued in NY

Practice address

1701 Sunrise Hwy
Unit Fsu4
Bay Shore, NY 11706-6091

Phone

(631) 665-6309

NPI assigned

Jun 29, 2015

Last updated

Jun 29, 2015By 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 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

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kayvan Keyhani MD PCGroup PAC ID 9638236912, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

98.08 of 100Reported as group

Quality

95.21

Improvement activities

40

Cost

100

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kwenthen@kea.intellechartdirect.net

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.

• Kayvan Keyhani MD PC

  • Ophthalmology Physician
  • Yorktown Heights, NY
  • NPI 1063667202
  Medicare reassignment Care Compare group NPD
• Empire Vision Center Inc

  dba Davis Vision

  • Optometrist
  • Syracuse, NY
  • NPI 1750358826
  Medicare reassignment NPD
• Empire Vision Center, Inc

  dba Visionworks

  • Eyewear Supplier
  • Attleboro, MA
  • NPI 1730635582
  NPD
• Buxton Eye Surgical P.C.

  • Specialist
  • New York, NY
  • NPI 1780736660
  NPD (past)
• Empire Vision Center, Inc.

  dba Visionworks

  • Eyewear Supplier
  • Bay Shore, NY
  • NPI 1447657515
  NPD (past)

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

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435536000000",
    "number": "1033592803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 SUNRISE HWY",
            "address_2": "UNIT FSU4",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117066091",
            "telephone_number": "631-665-6309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 SUNRISE HWY",
            "address_2": "UNIT FSU4",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117066091",
            "telephone_number": "631-665-6309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENTHEN",
        "first_name": "KENNETH",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-29",
        "last_updated": "2015-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lenny Weinstein, D.O
• Crystal Wells, NP-C
• Robert Dean Wendt, D.D.S.
• Isaac Edward Wenger, MD
• Jonathon Charles Wenke, FNP
• Western Suffolk Gastroenterology Assoc LLP
• Cara Wetcher, MD
• Rory Whalley, PT,DPT
• Jamie Wheeler, M.S.E.D.
• Amanda Whittaker

• Optometrist in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2015; 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.