Individual provider Active NPI

Jason Michael Kvitle, O.D.

  • Optometrist
  • Quincy, IL
National Provider Identifier
1356775720
Registry record updated Sep 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046010731 Issued in IL
Practice address
3325 Maine St
Suite 1
Quincy, IL 62301-4438
Phone
(217) 231-3937
Fax
(217) 231-3940
NPI assigned
Aug 21, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046010731 IL Primary

Addresses

Primary practice location

3325 Maine St
Suite 1
Quincy, IL 62301-4438

Mailing address

3325 Maine St Ste 1
Quincy, IL 62301-4438
Phone (217) 231-3937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20131003000090 IL Practitioner - Optometry 1456585553 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1107 College Ave
Quincy, IL 62301-2600
Phone (217) 223-7834

Merit-based Incentive Payment System (MIPS)

Final score
98.8 of 100Reported as individual
Quality
100
Promoting interoperability
96
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery261

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
JNCK PC Optometrist CurrentSince Sep 1, 2022 Accepting new patients

Locations

1107 College Ave
Quincy, IL 62301
Phone (217) 214-5800

Interoperability endpoints

  • Direct secure messaging: jkvitle171905@kvitleeyecare.emadirect.md

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": "1377043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568073600000",
    "number": "1356775720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3325 MAINE ST STE 1",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623014438",
            "telephone_number": "217-231-3937",
            "fax_number": "217-231-3940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 MAINE ST",
            "address_2": "SUITE 1",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623014438",
            "telephone_number": "217-231-3937",
            "fax_number": "217-231-3940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KVITLE",
        "first_name": "JASON",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-21",
        "last_updated": "2019-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, IL

Sources for this page

Verify at the official NPI Registry.