Jennifer Koster, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1477 Issued in AZ

Practice address

8752 E Shea Blvd
Scottsdale, AZ 85260-6640

Phone

(480) 991-6432

Fax

(480) 991-2143

NPI assigned

Nov 8, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Keene Former name

Medicare fee-for-service enrollment

Enrolled in AZ

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

Illinois College of Optometry at Chicago, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Phoenix Eye Care, PLLCGroup PAC ID 7911983408, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Central Phoenix Eye Care, PLLC

  • Optometrist
  • Phoenix, AZ
  • NPI 1043246416
  Medicare reassignment Care Compare group NPD
• Riviera Opticare Inc.

  • Optometrist
  • Scottsdale, AZ
  • NPI 1629261854
  NPD (past)
• Riviera Opticare Inc.

  • Optometrist
  • Mesa, AZ
  • NPI 1972796100
  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043380066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4902 E KIRKLAND RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850546183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8752 E SHEA BLVD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606640",
            "telephone_number": "480-991-6432",
            "fax_number": "480-991-2143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSTER",
        "first_name": "JENNIFER",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "KEENE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Katelyn Terese Koschmeder, MD
• Lawrence R Kosinski, MD
• Linda Kosinski, FNP
• Diana Beth Koss, MD
• Alessia Kosta
• Alexandrina Kostova, PHARMD
• Lisa Kandell Kotler, M.S., R.D., CSP
• Moussa Koulbou
• Tracy Lynn Kouns, LPC-MHSP, PMHNP
• Ornella Estelle Kouomegne-Simo, MD

• Optometrist in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.