Individual provider Active NPI

Jenny McKenzie, O.D.

  • Optometrist
  • Crestview Hills, KY
National Provider Identifier
1376190769
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2149DT Issued in KY
Practice address
500 Thomas More Pkwy
Crestview Hills, KY 41017-3454
Phone
(859) 341-4525
NPI assigned
Aug 21, 2019
Last updated
Aug 21, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 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 2149DT KY Primary

Addresses

Primary practice location

500 Thomas More Pkwy
Crestview Hills, KY 41017-3454

Mailing address

141 Santa Monica Dr
Georgetown, KY 40324-8886
Phone (859) 338-9222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OH2 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

Enrollment IDStateProvider typePAC IDDetails
I20200408003723 KY Practitioner - Optometry 5092144204 Reassigns benefits to 1 organization
I20200508001473 OH Practitioner - Optometry 5092144204 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri-State Centers for Sight IncGroup PAC ID 7113812090, shared by 8 NPIs, 37 clinicians

Practice addresses (Care Compare)

2865 Chancellor Dr
Suite 210
Crestview Hills, KY 41017-3931
Phone (859) 331-1058

4452 Eastgate Blvd
Suite 305
Cincinnati, OH 45245-1584
Phone (513) 752-5700

500 Thomas More Pkwy
Crestview Hills, KY 41017-3454
Phone (859) 341-4525

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2149DTKYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-State Centers for Sight Inc Optometrist CurrentSince Jun 18, 2024 Accepting new patients
Tri-State Centers for Sight, Inc. Current Accepting new patients
Tri-State Centers for Sight, Inc CurrentSince Sep 11, 2020 Accepting new patients
Tri-State Centers for Sight, Inc. Current Accepting new patients
Tri-State Centers for Sight Inc Optometrist CurrentSince Sep 11, 2020 Accepting new patients
Tri-State Centers for Sight Inc Past Accepting new patients

Locations

2865 Chancellor Dr
Ste 210
Crestview Hills, KY 41017
Phone (859) 331-1058

2865 Chancellor Dr
Ste 215
Crestview Hills, KY 41017
Phone (606) 341-6660

7510 US Route 42
Florence, KY 41042
Phone (513) 671-6112

8780 US Highway 42
Florence, KY 41042
Phone (859) 384-2660

500 Thomas More Pkwy
Ft Mitchell, KY 41017
Phone (859) 341-4525

1060 Nimitzview Dr
Ste 105
Cincinnati, OH 45230
Phone (513) 232-2500

1577 Goodman Ave
Ste B
Cincinnati, OH 45224
Phone (513) 729-1321

2055 Reading Rd
Ste 330
Cincinnati, OH 45202
Phone (513) 381-1900

2135 Dana Ave
Ste 310
Cincinnati, OH 45207
Phone (513) 221-7788

4452 Eastgate Blvd
Ste 305
Cincinnati, OH 45245
Phone (513) 752-5700

5520 Cheviot Rd
Cincinnati, OH 45247
Phone (513) 389-9911

7730 Montgomery Rd
Ste 120
Cincinnati, OH 45236
Phone (513) 791-5999

8040 Hosbrook Rd
Ste 100
Cincinnati, OH 45236
Phone (513) 891-0473

8044 Montgomery Rd
Ste 155
Cincinnati, OH 45236
Phone (513) 731-7967

8270 Pine Rd
Cincinnati, OH 45236
Phone (513) 791-5999

1017 Main St
Hamilton, OH 45013
Phone (513) 868-2181

1275 N High St
Hillsboro, OH 45133
Phone (937) 393-5503

5141 Morning Sun Rd
Oxford, OH 45056
Phone (513) 523-2123

12124 Sheraton Ln
Springdale, OH 45246
Phone (513) 381-1900

500 Ross St
Pittsburgh, PA 15262
Phone (844) 362-6808

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1376190769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 SANTA MONICA DR",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403248886",
            "telephone_number": "859-338-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 THOMAS MORE PKWY",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410173454",
            "telephone_number": "859-341-4525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "JENNY",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-21",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "2149DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestview Hills, KY

Sources for this page

Verify at the official NPI Registry.