Kevin William Clogg, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV007652-1 Issued in NY

Practice address

2300 Buffalo Rd
BLDG 700
Rochester, NY 14624-1367

Phone

(585) 328-0153

Fax

(585) 328-0158

NPI assigned

Nov 2, 2010

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 NY

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, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Steve B. Park MD PCGroup PAC ID 0446219372, 14 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

96.62 of 100Reported as apm

Quality

74.51

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kclogg@cornerstoneeye.medentdirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Steve B. Park, MD PC

  • Optometrist
  • Rochester, NY
  • NPI 1235246984
  Medicare reassignment Care Compare group NPD
• Steve B. Park, MD PC

  • Eyewear Supplier
  • Victor, NY
  • NPI 1750867313

  Optometrist

  NPD

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

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288656000000",
    "number": "1568762995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 BUFFALO RD",
            "address_2": "BLDG 700",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146241367",
            "telephone_number": "585-328-0153",
            "fax_number": "585-328-0158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 BUFFALO RD",
            "address_2": "BLDG 700",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146241367",
            "telephone_number": "585-328-0153",
            "fax_number": "585-328-0158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOGG",
        "first_name": "KEVIN",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-02",
        "last_updated": "2010-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007652-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clinical Psychologists of Rochester PLLC
• Melajah Marie Clinkscales, RN
• Ashley Corinne Clinton, DPT
• Ce'Mone Malaysia Clinton, LPN
• Jessica Clinton, RN
• Amanda Clonick, NP
• Mark R Cloninger, NP
• Lori A Clontz
• Anna Elisabet Close, MSED, CASAC
• Ebony Closure

• Optometrist in Rochester, NY
• Providers in Rochester, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; 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.