Individual provider Active NPI

Kendra Jill Tamsett-Schmidt, O.D.

  • Optometrist
  • Fleming Island, FL
National Provider Identifier
1164539839
Registry record updated Sep 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC3184 Issued in FL
Practice address
1515 Business Center Dr Ste 4
Fleming Island, FL 32003-4401
Phone
(904) 278-1760
Fax
(904) 278-1730
NPI assigned
Aug 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC3184 FL Primary

Addresses

Primary practice location

1515 Business Center Dr Ste 4
Fleming Island, FL 32003-4401

Mailing address

1515 Business Center Dr Ste 4
Fleming Island, FL 32003-4401
Phone (904) 278-1760

Other identifiers 2

IdentifierTypeStateIssuer
410045595OtherRAILROAD MEDICARE
5673714OtherAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20090224000741 FL Practitioner - Optometry 8820153992 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Island Eyecare PAGroup PAC ID 4183788839, 2 clinicians

Practice addresses (Care Compare)

1515 Business Ctr Dr
Suite 4
Fleming Island, FL 32003-4401
Phone (904) 278-1760

Merit-based Incentive Payment System (MIPS)

Final score
85.34 of 100Reported as individual
Quality
70.68
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Island Eyecare PA Optometrist CurrentSince Apr 1, 2008 Accepting new patients
Gulf Coast Optometry, PA Past Accepting new patients

Locations

1515 Business Center Dr
Ste 4
Orange Park, FL 32003
Phone (904) 278-1760

Interoperability endpoints

  • Direct secure messaging: jill.tamsett-schmidt@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": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443398400000",
    "number": "1164539839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 BUSINESS CENTER DR STE 4",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320034401",
            "telephone_number": "904-278-1760",
            "fax_number": "904-278-1730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 BUSINESS CENTER DR STE 4",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320034401",
            "telephone_number": "904-278-1760",
            "fax_number": "904-278-1730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMSETT-SCHMIDT",
        "first_name": "KENDRA",
        "middle_name": "JILL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2015-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410045595",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5673714",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fleming Island, FL

Sources for this page

Verify at the official NPI Registry.