Julie Ann Cecelia Kittock, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3076AT Issued in OR

Practice address

535 9TH Street
Florence, OR 97439

Phone

(541) 997-3331

Fax

(541) 997-9439

NPI assigned

Jan 4, 2006

Last updated

Apr 8, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OR, MT2 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

Specialty

Optometry

Education

Pacific University - College of Optometry, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Raymond G Mans OD PCGroup PAC ID 1557332459, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Raymond G. Mans, OD PC

  dba Florence Reedsport Eye Clinics

  • Optometrist
  • Florence, OR
  • NPI 1184774440
  Medicare reassignment Care Compare group NPD
• Watson Hayes LLC

  • Optometrist
  • Billings, MT
  • NPI 1588123590
  Medicare reassignment NPD
• Raymond G. Mans, OD PC

  dba Florence Reedsport Eye Clinics

  • Optometrist
  • Reedsport, OR
  • NPI 1194850743
  NPD (past)

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207612800000",
    "number": "1285612788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 277",
            "city": "FLORENCE",
            "state": "OR",
            "postal_code": "974390010",
            "telephone_number": "541-997-3331",
            "fax_number": "541-997-9439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 9TH STREET",
            "city": "FLORENCE",
            "state": "OR",
            "postal_code": "97439",
            "telephone_number": "541-997-3331",
            "fax_number": "541-997-9439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITTOCK",
        "first_name": "JULIE",
        "middle_name": "ANN CECELIA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-04",
        "last_updated": "2008-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3076AT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "064639",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "R00WCYBXB",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tze Yu Juang, PHARM D
• Denise Marie Kennedy Womack
• Stephen Samuel Kerner, D.O.
• Karly Laura Kerod, PT, DPT
• Carissa King, DMD
• Kyna Lynn Knights
• Charles Wayne Korando, DDS, PC
• Ryan Charles Korando, L.D.
• Lake View Counseling, LLC
• Lane County School District 97J

• Optometrist in Florence, OR
• Providers in Florence, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; 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.