Kayla Kinsley, OD
Individual provider Active NPI Optometrist · Essex Junction, VT
NPI 1629817366 · NPPES record last updated May 31, 2024
Key facts
- NPI
- 1629817366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 0300134005 (VT)
- Practice address
- 77B Pearl St
Essex Junction, VT 05452-3625 - Phone
- (802) 878-5509
- NPI assigned
- May 22, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- New England College of Optometry, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Eyecare of Vermont PLC
Practice addresses (Care Compare)
230 College St
Apt 1
Burlington, VT 05401-8347
Phone (802) 658-3330
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241010003599 | VT | Practitioner - Optometry | 5698210110 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0300134005 | VT | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eyecare of Vermont, PLC | Optometrist | Current |
Accepting new patients |
| Eyecare of Vermont, PLC | Optometrist | Current |
Accepting new patients |
Locations
77 Pearl St
#B
Essex Junction, VT 05452
Phone (503) 558-4686
77B Pearl St
Essex Junction, VT 05452
Phone (802) 878-5509
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0300134005 | VT | Yes |
Addresses
Primary practice location
77B Pearl St
Essex Junction, VT 05452-3625
Mailing address
77B Pearl St
Essex JCT, VT 05452-3625
Phone (802) 878-5509
Other providers in Essex Junction, VT
- Christina Keating
- Trevor Leith Kelsey
- Sonya Kennedy
- Megan Kiernan
- Kiersten Parks Licsw PLC
- Stephanie Klein
- Darryl Lawrence Koch
- David Theodore Kolok
- KPH Healthcare Services, Inc.
- Kimberly A Krause
All providers in Essex Junction, VT · Optometrist in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 31, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.