Individual provider Active NPI

Andrew John Kamenski, O.D

  • Optometrist
  • Grand Junction, CO
National Provider Identifier
1073742649
Registry record updated Dec 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2779 Issued in CO
Practice address
2737 Crossroads Blvd
Grand Junction, CO 81506-3954
Phone
(970) 243-9681
Fax
(970) 243-9155
NPI assigned
Jul 4, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2779 CO Primary

Addresses

Primary practice location

2737 Crossroads Blvd
Grand Junction, CO 81506-3954

Mailing address

2737 Crossroads Blvd
Grand Junction, CO 81506-3954
Phone (970) 243-9681

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20100909000282 CO Practitioner - Optometry 0446304075 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Vision Center, Inc.Group PAC ID 1456395359, 6 clinicians

Practice addresses (Care Compare)

950 N Ave
Grand JCT, CO 81501-3259

950 N Ave
Suite 106
Grand Junction, CO 81501-7641
Phone (970) 242-0222

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2779COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Vision Center, Inc. CurrentSince Jul 15, 2025 Accepting new patients

Locations

362 Main St
Grand Junction, CO 81501
Phone (970) 245-6688

950 North Ave
Ste 106
Grand Junction, CO 81501
Phone (970) 242-0222

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": "1246665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325030400000",
    "number": "1073742649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2737 CROSSROADS BLVD",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815063954",
            "telephone_number": "970-243-9681",
            "fax_number": "970-243-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2737 CROSSROADS BLVD",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815063954",
            "telephone_number": "970-243-9681",
            "fax_number": "970-243-9155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMENSKI",
        "first_name": "ANDREW",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-04",
        "last_updated": "2011-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

Verify at the official NPI Registry.