Kenneth R. Kendall, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT9482T Issued in CA

Practice address

425 W Central Ave Ste 102
Lompoc, CA 93436-2806

Phone

(805) 736-2020

Fax

(805) 737-1733

NPI assigned

May 24, 2005

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

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in CA

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

Southern California College of Optometry, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elite Eyecare Medical Group a Medical CorporationGroup PAC ID 5597715391, 14 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

96.48 of 100Reported as group

Quality

97.86

Improvement activities

40

Cost

75.36

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kenneth.kendall@direct.shepardeye.nextgenshare.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.

• Elite Eyecare Medical Group a Medical Corporation

  • Optometrist
  • Lompoc, CA
  • NPI 1437117231
  Medicare reassignment Care Compare group NPD
• Elite Eyecare Medical Group a Medical Corporation

  • Optometrist
  • Solvang, CA
  • NPI 1356763759
  NPD Authorized official
• Elite Eyecare Medical Group a Medical Corporation

  • Optometrist
  • Morro Bay, CA
  • NPI 1477264901
  NPD (past)
• San Luis Obispo Eye Associates, a Medical Group Incorporated

  • Ophthalmology Physician
  • San Luis Obispo, CA
  • NPI 1548311061

  Optometrist

  NPD (past)
• Sansum Clinic

  • Ambulatory Surgical Clinic/Center
  • Santa Barbara, CA
  • NPI 1649296807
  NPD (past)
• Santa Barbara Cottage Hospital

  • General Acute Care Hospital
  • Santa Barbara, CA
  • NPI 1477554152
  NPD (past)

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438128000000",
    "number": "1700889532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 E STOWELL RD",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934547001",
            "telephone_number": "805-925-2637",
            "fax_number": "805-347-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 W CENTRAL AVE STE 102",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934362806",
            "telephone_number": "805-736-2020",
            "fax_number": "805-737-1733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENDALL",
        "first_name": "KENNETH",
        "middle_name": "R.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2015-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT9482T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DMERC",
            "identifier": "1312330002",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00190674",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0094820",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bernardus Gani Sugiarto Kartono Winardi, MD
• Jade K Kau
• Leslie Ann Kazia, FNP-C
• Hailey Kelly
• William Kelly, M. D.
• Lisa Kerman
• Simone Michelle Khalil, RN
• Khawar Mahmood Gul, M.D. Inc., a Medical Corporation
• Alen Khodagulyan
• Roger Robert Killackey

• Optometrist in Lompoc, CA
• Providers in Lompoc, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; 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.