Individual provider Active NPI

Kenneth Lipstock, MD

  • Ophthalmology Physician
  • Richmond, VA
National Provider Identifier
1275716847
Registry record updated Feb 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
0101030447 Issued in VA
Practice address
3701 Westerre Pkwy
Suite a
Richmond, VA 23233-1326
Phone
(804) 288-1543
Fax
(804) 285-2375
NPI assigned
Dec 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 0101030447 VA Primary

Addresses

Primary practice location

3701 Westerre Pkwy
Suite a
Richmond, VA 23233-1326

Mailing address

3701 Westerre Pkwy
Suite a
Richmond, VA 23233-1326
Phone (804) 288-1543

Other identifiers 1

IdentifierTypeStateIssuer
6398821MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100525000221 VA Practitioner - Ophthalmology 9234190984 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1981
Medicare assignment
May accept Medicare assignment
Group practices
Eye Center IncGroup PAC ID 7517928260, 2 clinicians

Practice addresses (Care Compare)

3701 Westerre Pkwy
Suite a
Richmond, VA 23233-1326
Phone (804) 288-1543

Merit-based Incentive Payment System (MIPS)

Final score
51.55 of 100Reported as group
Quality
0
Improvement activities
40
Cost
71.84

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery30

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101030447VAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Center Inc Ophthalmology CurrentSince Mar 4, 1986 Accepting new patients

Locations

3701 Westerre Pkwy
Henrico, VA 23233

3701 Westerre Pkwy
Ste A
Richmond, VA 23233
Phone (804) 288-1543

Organizations & group practices 1

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": "1196899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202169600000",
    "number": "1275716847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 WESTERRE PKWY",
            "address_2": "SUITE A",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232331326",
            "telephone_number": "804-288-1543",
            "fax_number": "804-285-2375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 WESTERRE PKWY",
            "address_2": "SUITE A",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232331326",
            "telephone_number": "804-288-1543",
            "fax_number": "804-285-2375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPSTOCK",
        "first_name": "KENNETH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-06",
        "last_updated": "2008-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101030447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6398821",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.