Individual provider Active NPI

John Joseph Kinney, OD

  • Optometrist
  • Fresno, CA
National Provider Identifier
1407872344
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5291T Issued in CA
Practice address
1360 E Herndon Avenue
Suite 301
Fresno, CA 93720
Phone
(559) 486-5000
Fax
(559) 439-7854
NPI assigned
Jul 14, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5291T CA Primary

Addresses

Primary practice location

1360 E Herndon Avenue
Suite 301
Fresno, CA 93720

Mailing address

1360 E Herndon Avenue
Suite 301
Fresno, CA 93720
Phone (559) 486-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20080430000852 CA Practitioner - Optometry 4789763814 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Medical Clinic of Fresno IncGroup PAC ID 1355381740, 15 clinicians

Practice addresses (Care Compare)

1122 S St
Suite 101
Fresno, CA 93721-1430
Phone 55948650002822

1360 E Herndon Ave
Suite 301
Fresno, CA 93720-3326
Phone 55948650002822

Merit-based Incentive Payment System (MIPS)

Final score
89.23 of 100Reported as group
Quality
79.8
Promoting interoperability
80
Improvement activities
40
Cost
87.82

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5291TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Medical Clinic of Fresno, Inc. CurrentSince Jan 1, 2005 Accepting new patients
Eye Medical Clinic of Fresno, Inc CurrentSince Jan 1, 2005 Accepting new patients
Eye Medical Clinic of Fresno, Inc. Optometrist Past Accepting new patients

Locations

1122 S St
Ste 101
Fresno, CA 93721
Phone (559) 486-5000

1360 E Herndon Ave
Ste 301
Fresno, CA 93720
Phone (559) 449-5060

1122 S St
Fresno, CA 93721
Phone (559) 268-1737

Interoperability endpoints

  • Direct secure messaging: john.kinney.p1@direct.californiaeye.nextgenshare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407872344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 E HERNDON AVENUE",
            "address_2": "SUITE 301",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93720",
            "telephone_number": "559-486-5000",
            "fax_number": "559-439-7854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 E HERNDON AVENUE",
            "address_2": "SUITE 301",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93720",
            "telephone_number": "559-486-5000",
            "fax_number": "559-439-7854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINNEY",
        "first_name": "JOHN",
        "middle_name": "JOSEPH",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "5291T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.