Individual provider Active NPI

Kristen Marie Semenick, OD

  • Optometrist
  • Dover, DE
National Provider Identifier
1700851383
Registry record updated Jul 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
130001300 Issued in DE
Practice address
833 South Governors Av
Dover, DE 19904-4158
Phone
(302) 674-1121
Fax
(302) 674-3891
NPI assigned
Feb 17, 2006
Last updated
Jul 29, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 130001300 DE Primary

Addresses

Primary practice location

833 South Governors Av
Dover, DE 19904-4158

Mailing address

833 South Governors Av
Dover, DE 19904-4158
Phone (302) 674-1121

Other identifiers 3

IdentifierTypeStateIssuer
510111OPTOtherDEBCBS OF DELAWARE
2623617000OtherDEAMERI HEALTH
1000037722MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20051007000096 DE Practitioner - Optometry 4688612013 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Delaware Eye Care Center PAGroup PAC ID 6002868767, 19 clinicians

Practice addresses (Care Compare)

16 Old Rudnick LN
Dover, DE 19901-4912
Phone (302) 734-1760

833 S Governors Ave
Dover, DE 19904-4158
Phone (302) 674-1121

Merit-based Incentive Payment System (MIPS)

Final score
80.9 of 100Reported as group
Quality
80.95
Improvement activities
40
Cost
71.26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware Eye Care Center PA Optometrist CurrentSince Sep 16, 2005 Accepting new patients
Estate of Cecil D Furer OD Optometrist Past Accepting new patients
Delaware Eye Care Center PA Optometrist Past Accepting new patients

Locations

833 S Governors Ave
Dover, DE 19904
Phone (302) 674-1121

100 Silicato Pkwy
Ste 303
Milford, DE 19963
Phone (800) 900-2020

333 E Main St
Newark, DE 19711
Phone (302) 368-9105

Interoperability endpoints

  • Direct secure messaging: kristen.semenick.p1@direct.delewareeyecare.nextgenshare.com

Organizations & group practices 3

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": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280361600000",
    "number": "1700851383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 SOUTH GOVERNORS AV",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199044158",
            "telephone_number": "302-674-1121",
            "fax_number": "302-674-3891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 SOUTH GOVERNORS AV",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199044158",
            "telephone_number": "302-674-1121",
            "fax_number": "302-674-3891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEMENICK",
        "first_name": "KRISTEN",
        "middle_name": "MARIE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-17",
        "last_updated": "2010-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "DE",
            "license": "130001300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF DELAWARE",
            "identifier": "510111OPT",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERI HEALTH",
            "identifier": "2623617000",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000037722",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

Verify at the official NPI Registry.