Jennifer Sidun Vincent, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

6240 Issued in OH

Practice address

2013 State Route 59
Kent, OH 44240-4113

Phone

(330) 678-0201

Fax

(330) 678-4272

NPI assigned

May 1, 2013

Last updated

Jan 6, 2020By 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

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Optometry

Education

University of Missouri St Louis - School of Optometry, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ohio Eye Care Consultants, LLCGroup PAC ID 8820010614, 6 clinicians

Northeast Ohio Eye Surgeons IncGroup PAC ID 3577537042, 32 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

85.48 of 100Reported as group

Quality

77.53

Promoting interoperability

96

Improvement activities

40

Cost

77.39

Merit-based Incentive Payment System (MIPS)

Final score

90.82 of 100Reported as group

Quality

93.32

Promoting interoperability

100

Improvement activities

40

Cost

76.06

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.

• Northeast Ohio Eye Surgeons, Inc.

  • Optometrist
  • Kent, OH
  • NPI 1932208733
  Medicare reassignment Care Compare group NPD
• Ohio Eye Care Consultants, LLC

  dba Northeast Ohio Eye Surgeons

  • Ophthalmology Physician
  • Medina, OH
  • NPI 1568581965

  Optometrist

  Medicare reassignment Care Compare group NPD
• Northern Ohio Eye Consultants Inc

  dba Cleveland Eye Clinic

  • Ophthalmology Physician
  • Cleveland, OH
  • NPI 1386752558
  Medicare reassignment NPD
• Northeast Ohio Eye Surgeons, Inc.

  • Ophthalmology Physician
  • Medina, OH
  • NPI 1093316671

  Optometrist

  NPD
• Northeast Ohio Eye Surgeons, Inc.

  • Ophthalmology Physician
  • Akron, OH
  • NPI 1871888669

  Optometrist

  NPD
• Northern Ohio Eye Consultants Inc

  • Optometrist
  • Lorain, OH
  • NPI 1629057716
  NPD
• Ohio Eye Care Consultants, LLC

  dba Northeast Ohio Eye Surgeons

  • Ophthalmology Physician
  • Medina, OH
  • NPI 1336740570

  Optometrist

  NPD
• Ohio Eye Care Consultants, LLC

  dba Northeast Ohio Eye Surgeons

  • Customized Equipment (DME)
  • Medina, OH
  • NPI 1053361147
  NPD (past)

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578268800000",
    "number": "1326483546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2013 STATE ROUTE 59",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442404113",
            "telephone_number": "330-678-0201",
            "fax_number": "330-678-4272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2013 STATE ROUTE 59",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442404113",
            "telephone_number": "330-678-0201",
            "fax_number": "330-678-4272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3733 Park East Dr",
            "address_2": "Suite 104",
            "address_purpose": "LOCATION",
            "city": "Beachwood",
            "state": "OH",
            "postal_code": "441224338",
            "country_code": "US",
            "telephone_number": "216-839-0200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4099 Embassy Pkwy",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "OH",
            "postal_code": "443331781",
            "country_code": "US",
            "telephone_number": "330-835-1844",
            "fax_number": "330-836-8598",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VINCENT",
        "first_name": "JENNIFER",
        "middle_name": "SIDUN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-01",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kassandra Vansteenberg, CNP
• Anne Vanwagoner, PCC-S
• Melody Vardon
• Samantha Vela, LPC
• Victor V Kopyev, MD, LLC
• Visiting Nurse Service and Affiliates (Portage County Visiting Nurse Service & Hospice)
• Jennifer Visker
• Khalid D Volious
• Leon D Wade
• Madison B Wade

• Optometrist in Kent, OH
• Providers in Kent, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; 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.