Individual provider Active NPI

Kenneth C Hunt, O.D.

  • Optometrist
  • Lake Mary, FL
National Provider Identifier
1255540621
Registry record updated Oct 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
003239 Issued in FL
Practice address
938 Williston Park PT
Lake Mary, FL 32746-2166
Phone
(407) 444-4911
Fax
(407) 444-4913
NPI assigned
May 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 003239 FL Primary

Addresses

Primary practice location

938 Williston Park PT
Lake Mary, FL 32746-2166

Mailing address

938 Williston Park PT
Lake Mary, FL 32746-2166
Phone (407) 444-4911

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
I20080408000871 FL Practitioner - Optometry 4981781499 Practice locations: Lake Mary, FL

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

938 Williston Park PT
Lake Mary, FL 32746-2166
Phone (407) 444-4911

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003239FLMDOptometrist

Interoperability endpoints

  • Direct secure messaging: kenneth.hunt@uprisedirect.com

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191456000000",
    "number": "1255540621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "938 WILLISTON PARK PT",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462166",
            "telephone_number": "407-444-4911",
            "fax_number": "407-444-4913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "938 WILLISTON PARK PT",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462166",
            "telephone_number": "407-444-4911",
            "fax_number": "407-444-4913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNT",
        "first_name": "KENNETH",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "003239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

Verify at the official NPI Registry.