Individual provider Active NPI

Jeffrey J. Kiener, O.D.

  • Optometrist
  • Westerville, OH
National Provider Identifier
1720131030
Registry record updated Apr 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4115 T-67 Issued in OH
Practice address
925 N State St
Ste J
Westerville, OH 43082-8023
Phone
(614) 523-3949
Fax
(614) 523-4361
NPI assigned
Jan 19, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4115 T-67 OH Primary

Addresses

Primary practice location

925 N State St
Ste J
Westerville, OH 43082-8023

Mailing address

925 N State St
Ste J
Westerville, OH 43082-8023
Phone (614) 523-3949

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20201109002510 OH Practitioner - Optometry 1557771250 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

925 N State St
Suite J
Westerville, OH 43082-8023
Phone (614) 523-3949

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4115 T-67OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Westerville Eyecare Inc Optometrist CurrentSince Sep 1, 2020 Accepting new patients

Locations

925 N State St
Ste J
Westerville, OH 43082
Phone (614) 523-3949

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587686400000",
    "number": "1720131030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 N STATE ST",
            "address_2": "STE J",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430828023",
            "telephone_number": "614-523-3949",
            "fax_number": "614-523-4361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 N STATE ST",
            "address_2": "STE J",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430828023",
            "telephone_number": "614-523-3949",
            "fax_number": "614-523-4361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIENER",
        "first_name": "JEFFREY",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4115 T-67",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

Verify at the official NPI Registry.