Active NPI
Jordan Lynn Kennedy
- Optometrist
- Nashua, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1060
- Practice address
- 5 Coliseum Ave Ste 101
Nashua, NH 03063-3292 - Phone
- (603) 882-9800
- Fax
- (603) 882-0556
- NPI assigned
- Aug 21, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1060 | NH | Primary |
Addresses
Primary practice location
5 Coliseum Ave Ste 101
Nashua, NH 03063-3292
Mailing address
5 Coliseum Ave Ste 101
Nashua, NH 03063-3292
Phone (603) 882-9800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220829000556 | NH | Practitioner - Optometry | 1557745361 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Nashua Eye Associates PA
Practice addresses (Care Compare)
5 Coliseum Ave
Nashua, NH 03063-3292
Phone (603) 882-9800
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.97 of 100
- Quality
- 86.44
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.79
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1060 | NH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nashua Eye Associates, P.a. | Optometrist | Current | Accepting new patients |
Locations
30 Lowell Rd
Hudson, NH 03051
Phone (603) 598-6400
555 Nashua St
Milford, NH 03055
Phone (603) 672-8800
5 Coliseum Ave
Nashua, NH 03063
Phone (603) 881-7141
5 Coliseum Ave
Ste 101
Nashua, NH 03063
Phone (603) 882-9800
Interoperability endpoints
- jordan.kennedy@nashuaeye.direct.eyemdemr.com
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": "1629504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660176000000",
"number": "1306512090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 COLISEUM AVE STE 101",
"city": "NASHUA",
"state": "NH",
"postal_code": "030633292",
"telephone_number": "603-882-9800",
"fax_number": "603-882-0556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 COLISEUM AVE STE 101",
"city": "NASHUA",
"state": "NH",
"postal_code": "030633292",
"telephone_number": "603-882-9800",
"fax_number": "603-882-0556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEDY",
"first_name": "JORDAN",
"middle_name": "LYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-21",
"last_updated": "2022-08-11",
"certification_date": "2022-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NH",
"license": "1060",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nashua, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; 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.