Jacquelyn D Kuta, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

6473 Issued in OH

Practice address

6500 Rockside Rd Ste 100
Independence, OH 44131-2319

Phone

(216) 674-6400

Fax

(216) 674-6410

NPI assigned

Apr 29, 2016

Last updated

Aug 25, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Illinois College of Optometry at Chicago, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ophthalmic Physicians, IncGroup PAC ID 7113822735, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: jkuta@osm.intellechartdirect.net

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.

• Ophthalmic Physicians, Inc

  • Ophthalmology Physician
  • Mentor, OH
  • NPI 1265523237
  Medicare reassignment Care Compare group NPD
• Aeg Ohio Professional PC

  • Optometrist
  • Solon, OH
  • NPI 1154980811
  Medicare reassignment NPD
• Family First Vision Care, LLC

  • Optometrist
  • Columbus, OH
  • NPI 1427462183
  Medicare reassignment NPD
• David J Gale, OD

  • Optometrist
  • Solon, OH
  • NPI 1336249705
  Medicare reassignment
• Aeg Ohio Professional PC

  dba Harper's Point

  • Optometrist
  • Cincinnati, OH
  • NPI 1932708047
  NPD
• Michigan Ophthalmology Specialists, PLLC

  dba Advanced Ophthalmology Associates

  • Ophthalmology Physician
  • Livonia, MI
  • NPI 1942272364

  Optometrist

  NPD
• Ophthalmic Physicians Inc

  • Ophthalmology Physician
  • Ashtabula, OH
  • NPI 1104083336
  NPD (past)

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

{
    "created_epoch": "1461888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1427403104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 ROCKSIDE RD STE 100",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312319",
            "telephone_number": "216-674-6400",
            "fax_number": "216-674-6410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 ROCKSIDE RD STE 100",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312319",
            "telephone_number": "216-674-6400",
            "fax_number": "216-674-6410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8140 Norton Pkwy Ste 110",
            "address_purpose": "LOCATION",
            "city": "Mentor",
            "state": "OH",
            "postal_code": "440606049",
            "country_code": "US",
            "telephone_number": "440-255-1115",
            "fax_number": "440-255-1550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUTA",
        "first_name": "JACQUELYN",
        "middle_name": "D",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-29",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Marie Kubiak
• Scott Thomas Kucharski, PT
• Elissa Marie Kucinsky, OTR/L
• Patricia Landon Kuivinen, LSW
• Sherri M Kulewsky, CNP
• Mark Kofi Kyei, M.D.
• Lyndon Labrake
• Mary L Labrake
• Lakeshore Educational & Counseling Services
• Amanda Melanie Lang, LPTA

• Optometrist in Independence, OH
• Providers in Independence, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; 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.