Jaime Larsen Kenny, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV006551 Issued in NY

Practice address

1028 Ridge Rd Ste 104
Empire Vision Centers
Webster, NY 14580-2973

Phone

(585) 872-2200

Fax

(585) 288-8998

NPI assigned

Jun 1, 2006

Last updated

Feb 6, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Jaime Larsen Van Fossan Other name

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

New England College of Optometry, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rochester Eye Care Group, PCGroup PAC ID 7416059274, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

96.62 of 100Reported as apm

Quality

74.51

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jkenny@rocheye.updoxdirect.com

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.

• Rochester Eye Care Group, PC

  dba Rochester Eye & Laser Center

  • Ophthalmology Physician
  • Rochester, NY
  • NPI 1245327550
  Medicare reassignment Care Compare group NPD
• Empire Vision Center Inc

  dba Davis Vision

  • Optometrist
  • Syracuse, NY
  • NPI 1750358826
  Medicare reassignment NPD
• Eye Appeal Masters in Vision LLC

  • Optician
  • Rochester, NY
  • NPI 1699926394
  Medicare reassignment NPD
• Rochester Eye Care Group PC

  • Eyewear Supplier
  • Rochester, NY
  • NPI 1043227234

  Optometrist

  NPD
• Shari L. Gustin OD, PC

  dba Webster Eye Care Associates

  • Optometrist
  • Webster, NY
  • NPI 1952581969
  NPD
• Empire Vision Center, Inc

  dba Visionworks

  • Eyewear Supplier
  • Attleboro, MA
  • NPI 1730635582
  NPD
• Empire Vision Center Inc

  dba Empire Vision Centers

  • Technician/Technologist
  • Webster, NY
  • NPI 1396704292

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517875200000",
    "number": "1154368736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 RIDGE RD",
            "address_2": "STE 104",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145802975",
            "telephone_number": "315-445-7465",
            "fax_number": "315-445-7675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 RIDGE RD STE 104",
            "address_2": "EMPIRE VISION CENTERS",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145802973",
            "telephone_number": "585-872-2200",
            "fax_number": "585-288-8998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNY",
        "first_name": "JAIME",
        "middle_name": "LARSEN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-01",
        "last_updated": "2018-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAIME",
            "last_name": "VAN FOSSAN",
            "middle_name": "LARSEN",
            "prefix": "DR.",
            "credential": "OD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Samantha L Kazimer
• Julie Keefe
• Alaina M Keem, DC
• Matthew Paul Keem, DC
• Eric Matthew Keene, PT, DPT, CFMT, CSCS
• Timothy Kersey, PA
• Neeru Khanna, M.D.
• Bohdanna Khrushch, RN
• Puneeta Khurana, M.D.
• Gabriel King, DPT

• Optometrist in Webster, NY
• Providers in Webster, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2018; 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.