Individual provider Active NPI

Julia Kitchens, O.D.

  • Optometrist
  • St Johnsbury, VT
National Provider Identifier
1245894229
Registry record updated Mar 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
030.0133956 Issued in VT
Practice address
468 Hospital Dr
St Johnsbury, VT 05819-9225
Phone
(802) 748-3536
Fax
(802) 748-4838
NPI assigned
Apr 25, 2019
Last updated
Mar 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2019018360 MO
Optometrist 152W00000X 1057 NH
Optometrist 152W00000X 030.0133956 VT Primary

Addresses

Primary practice location

468 Hospital Dr
St Johnsbury, VT 05819-9225

Mailing address

468 Hospital Dr
St Johnsbury, VT 05819-9225
Phone (802) 748-3536

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT, NH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220216002160 VT Practitioner - Optometry 8022342278 Reassigns benefits to 1 organization
I20240611000591 NH Practitioner - Optometry 8022342278 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shippee Family Eye Care PCGroup PAC ID 4183772239, 10 clinicians

Practice addresses (Care Compare)

468 Hospital Dr
Saint Johnsbury, VT 05819-9225
Phone (802) 223-7723

Merit-based Incentive Payment System (MIPS)

Final score
78.41 of 100Reported as individual
Quality
50.43
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1057NHMDRegistered Dietitian
2019018360MOMDOptometrist
030.0133956VTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Shippee Family Eye Care PC Optometrist CurrentSince Jan 14, 2022 Accepting new patients
Shippee Family Eye Care PC Optometrist CurrentSince Jan 14, 2022 Accepting new patients
Shippee Family Eye Care, P.C. Optometrist Past Accepting new patients
Nevada Optometric Center, Inc. PastSince Jun 10, 2019 Accepting new patients

Locations

580 Saint Johnsbury Rd
Ste 12
Littleton, NH 03561
Phone (603) 444-2184

468 Hospital Dr
St Johnsbury, VT 05819
Phone (802) 223-7723

Organizations & group practices 4

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": "1556150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1245894229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "468 HOSPITAL DR",
            "city": "ST JOHNSBURY",
            "state": "VT",
            "postal_code": "058199225",
            "telephone_number": "802-748-3536",
            "fax_number": "802-748-4838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "468 HOSPITAL DR",
            "city": "ST JOHNSBURY",
            "state": "VT",
            "postal_code": "058199225",
            "telephone_number": "802-748-3536",
            "fax_number": "802-748-4838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITCHENS",
        "first_name": "JULIA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-25",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2019018360",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NH",
            "license": "1057",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VT",
            "license": "030.0133956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Johnsbury, VT

Sources for this page

Verify at the official NPI Registry.