Jeffrey Steven Kenyon, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4577 Issued in MA

Practice address

385 Mendon Rd
Woonsocket, RI 02895-2477

Phone

(401) 762-4473

Fax

(401) 765-3261

NPI assigned

Sep 20, 2006

Last updated

Feb 10, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in RI

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

New England College of Optometry, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Blackstone Valley Eye Care, P.C.Group PAC ID 5890884886, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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.

• Blackstone Valley Eye Care, P.C.

  • Optometrist
  • Woonsocket, RI
  • NPI 1285827824
  Medicare reassignment Care Compare group NPD Authorized official
• Blackstone Valley Optometry PC

  • Optometrist
  • Woonsocket, RI
  • NPI 1669976858
  Medicare reassignment NPD Authorized official
• 4Sight Eyewear Inc.

  • Optometrist
  • Woonsocket, RI
  • NPI 1881329316
  NPD Authorized official

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1407954142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 MENDON RD",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028952477",
            "telephone_number": "508-994-1400",
            "fax_number": "508-910-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 MENDON RD",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028952477",
            "telephone_number": "401-762-4473",
            "fax_number": "401-765-3261"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "51 State Rd",
            "address_purpose": "LOCATION",
            "city": "North Dartmouth",
            "state": "MA",
            "postal_code": "027473319",
            "country_code": "US",
            "telephone_number": "508-994-1400",
            "fax_number": "508-910-2212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENYON",
        "first_name": "JEFFREY",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "RI",
            "license": "ODTG00533",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0709565",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "B/C B/S OF MASS",
            "identifier": "W16490",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael J. Katin, MD
• Kyle Kaufer, LICSW
• Jaspreet Kaur, PHARMD
• Neal Christopher Kelley
• Erin Kenyon, COTA
• Michelle Kershaw, PHARMD
• Kayla Key
• Abdul Allam Khan
• Faridoon Khan, M.D.
• Hamza Ali Khan, M.D

• Optometrist in Woonsocket, RI
• Providers in Woonsocket, RI by specialty
• Optometrist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; 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.