Individual provider Active NPI

Mikayla J Kemp

  • Optometrist
  • Spencerport, NY
National Provider Identifier
1144163668
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
011396 Issued in NY
Practice address
2277 S Union St
Spencerport, NY 14559-2225
Phone
(585) 349-3300
NPI assigned
Apr 10, 2026
Last updated
Jun 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 011396 NY Primary

Addresses

Primary practice location

2277 S Union St
Spencerport, NY 14559-2225

Mailing address

2361 N Hamlin Rd
Hamlin, NY 14464-9760
Phone (585) 727-3933

Other practice location 1

2300 Buffalo Rd Bldg 700
Rochester, NY 14624-1367
Phone (585) 328-0153

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2026
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10501 W Hampton Lakes St
Maize, KS 67101-3736

2277 S Union St
Spencerport, NY 14559-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mary E. Vadas, OD, LLC Optometrist CurrentSince Jul 15, 2026 Accepting new patients
Mary E Vadas, OD, LLC Optometrist PastSince Jul 15, 2026 Accepting new patients

Locations

2277 S Union St
Spencerport, NY 14559
Phone (585) 349-3300

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1775779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1144163668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2361 N HAMLIN RD",
            "city": "HAMLIN",
            "state": "NY",
            "postal_code": "144649760",
            "telephone_number": "585-727-3933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2277 S UNION ST",
            "city": "SPENCERPORT",
            "state": "NY",
            "postal_code": "145592225",
            "telephone_number": "585-349-3300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 Buffalo Rd Bldg 700",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146241367",
            "country_code": "US",
            "telephone_number": "585-328-0153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEMP",
        "first_name": "MIKAYLA",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-04-10",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "011396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spencerport, NY

Sources for this page

Verify at the official NPI Registry.