Individual provider Active NPI

Kaycee Vanetten Carney, OD

  • Optometrist
  • Phoenixville, PA
National Provider Identifier
1417449497
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG003424 Issued in PA
Practice address
720 Main St
Phoenixville, PA 19460-3844
Phone
(610) 933-3498
NPI assigned
Jun 5, 2018
Last updated
Dec 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG003424 PA Primary

Addresses

Primary practice location

720 Main St
Phoenixville, PA 19460-3844

Mailing address

720 Main St
Phoenixville, PA 19460-3844
Phone (610) 933-3498

Other names 1

  • Kaycee Vanetten Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20180809000092 PA Practitioner - Optometry 4789932773 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenixville Eye Care SpecialistsGroup PAC ID 9537130422, 3 clinicians

Practice addresses (Care Compare)

720 S Main St
Phoenixville, PA 19460-3844
Phone (610) 933-3498

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG003424PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenixville Eye Care Specialists Optometrist CurrentSince Jan 1, 2024 Accepting new patients
New Path Vision of Pottstown LLC Optometrist CurrentSince Dec 20, 2021 Accepting new patients

Locations

720 Main St
Phoenixville, PA 19460
Phone (610) 933-3498

1100 Heritage Dr
Sanatoga, PA 19464
Phone (610) 326-2754

Interoperability endpoints

  • Direct secure messaging: cvanetten@davincieyecare.eyefinity-direct.com
  • Direct secure messaging: kcarney1@phxeye.emadirect.md

Organizations & group practices 2

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": "1528156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1417449497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 MAIN ST",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194603844",
            "telephone_number": "610-933-3498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 MAIN ST",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194603844",
            "telephone_number": "610-933-3498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARNEY",
        "first_name": "KAYCEE",
        "middle_name": "VANETTEN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-05",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYCEE",
            "last_name": "VANETTEN",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phoenixville, PA

Sources for this page

Verify at the official NPI Registry.