Individual provider Active NPI

Kevin M Webb, O.D.

  • Optometrist
  • Kittery, ME
National Provider Identifier
1124113618
Registry record updated Dec 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT784 Issued in ME
Practice address
99 US Route 1 Byp
Suite a
Kittery, ME 03904-1570
Phone
(207) 439-0410
Fax
(207) 439-8353
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT784 ME Primary

Addresses

Primary practice location

99 US Route 1 Byp
Suite a
Kittery, ME 03904-1570

Mailing address

99 US Route 1 Byp
Suite a
Kittery, ME 03904-1570
Phone (207) 439-0410

Other identifiers 2

IdentifierTypeStateIssuer
126080099MedicaidME
30007654MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20050706000618 ME Practitioner - Optometry 4587600036 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kittery Optometric Associates, PLLCGroup PAC ID 7719059393, 8 clinicians

Practice addresses (Care Compare)

99 US Route 1 Byp
Suite a
Kittery, ME 03904-1792
Phone (207) 439-0410

Merit-based Incentive Payment System (MIPS)

Final score
92.45 of 100Reported as group
Quality
84.91
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT784MEMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kittery Optometric Associates, PLLC Optometrist CurrentSince Apr 30, 2008 Accepting new patients
Kittery Optometric Associates Optometrist CurrentSince Apr 30, 2008 Accepting new patients

Locations

99 US Route 1 Byp
#1
Kittery, ME 03904

99 US Route 1 Byp
Ste A
Kittery, ME 03904
Phone (207) 384-5015

99 US Route 1 Byp
Kittery, ME 03904
Phone (207) 439-0410

Interoperability endpoints

  • Direct secure messaging: kevinwebb.kitteryopto@direct.revolutionehr.com

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228867200000",
    "number": "1124113618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 US ROUTE 1 BYP",
            "address_2": "SUITE A",
            "city": "KITTERY",
            "state": "ME",
            "postal_code": "039041570",
            "telephone_number": "207-439-0410",
            "fax_number": "207-439-8353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 US ROUTE 1 BYP",
            "address_2": "SUITE A",
            "city": "KITTERY",
            "state": "ME",
            "postal_code": "039041570",
            "telephone_number": "207-439-0410",
            "fax_number": "207-439-8353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBB",
        "first_name": "KEVIN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ME",
            "license": "OPT784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126080099",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30007654",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kittery, ME

Sources for this page

Verify at the official NPI Registry.