Individual provider Active NPI

Jason R. Kunsman, O.D.

  • Optometrist
  • Montpelier, OH
National Provider Identifier
1730159609
Registry record updated Feb 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5049 Issued in OH
Practice address
306 W Main St
Montpelier, OH 43543-1018
Phone
(419) 485-4257
Fax
(419) 485-3520
NPI assigned
Jan 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5049 OH Primary

Addresses

Primary practice location

306 W Main St
Montpelier, OH 43543-1018

Mailing address

306 W Main St
Montpelier, OH 43543-1018
Phone (419) 485-4257

Other identifiers 2

IdentifierTypeStateIssuer
0090982MedicaidOH
P00291522OtherOHRAILROAD MEDICARE

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
I20050524000078 OH Practitioner - Optometry 8628019569 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri-State Vision Center, Inc.Group PAC ID 3476594318, 2 clinicians

Practice addresses (Care Compare)

306 W Main St
Montpelier, OH 43543-1018
Phone (419) 485-4257

Merit-based Incentive Payment System (MIPS)

Final score
94.6 of 100Reported as individual
Quality
89.2
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery59

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5049OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-State Vision Center, Inc. Optometrist CurrentSince Oct 7, 2002 Accepting new patients
Don'S Optical, Inc. PastSince Oct 7, 2002 Accepting new patients

Locations

143 S Main St
Bryan, OH 43506
Phone (419) 636-3638

306 W Main St
Montpelier, OH 43543
Phone (419) 485-4257

Interoperability endpoints

  • Direct secure messaging: dr.kunsman@direct.revolutionehr.com

Organizations & group practices 2

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": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391731200000",
    "number": "1730159609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 W MAIN ST",
            "city": "MONTPELIER",
            "state": "OH",
            "postal_code": "435431018",
            "telephone_number": "419-485-4257",
            "fax_number": "419-485-3520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 W MAIN ST",
            "city": "MONTPELIER",
            "state": "OH",
            "postal_code": "435431018",
            "telephone_number": "419-485-4257",
            "fax_number": "419-485-3520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNSMAN",
        "first_name": "JASON",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2014-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0090982",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00291522",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montpelier, OH

Sources for this page

Verify at the official NPI Registry.