John Reinhart Kaudewitz, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODT3732 Issued in TN

Practice address

312 E Main St Unit 100
Johnson City, TN 37601-5733

Phone

(423) 407-3311

Fax

(423) 707-2299

NPI assigned

Oct 4, 2018

Last updated

Dec 17, 2024By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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

Pennsylvania College of Optometry, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• Aura Optical

  • Optometrist
  • Johnson City, TN
  • NPI 1396525531
  Medicare reassignment NPD Authorized official
• Jonathan Woolfson, MD, PC

  • Ophthalmology Physician
  • Atlanta, GA
  • NPI 1891935599

  TN

  Medicare reassignment NPD
• Deborah R. Distefano M.D.P.C.

  dba DiStefano Eye Center

  • Clinic/Center
  • Chattanooga, TN
  • NPI 1588855225
  NPD (past)
• America's Best Contacts & Eyeglasses

  • Eyewear Supplier
  • Marrero, LA
  • NPI 1063443224
  NPD (past)

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

{
    "created_epoch": "1538611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1427523547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 E MAIN ST UNIT 100",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376015733",
            "telephone_number": "423-407-3311",
            "fax_number": "423-707-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 E MAIN ST UNIT 100",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376015733",
            "telephone_number": "423-407-3311",
            "fax_number": "423-707-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUDEWITZ",
        "first_name": "JOHN",
        "middle_name": "REINHART",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-04",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "ODT3732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Scott Kasting, RPH.
• Chand Kathuria, MD
• Jacqueline Katko, BS
• Sydney Katras, DDS
• Brett Austin Kattesh, CRNA
• William Meade Kauffman, M.D.
• Katherine Kazen, MD
• Shae Keane
• Caleb Michael Keck
• Kara Loven Keene, PA-C

• Optometrist in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.