Kristen Michelle Vincent

Primary specialty

Vision Therapy OptometristTaxonomy code 152WV0400X

License

27OA00676300 Issued in NJ

Practice address

17-10 Fair Lawn Ave
Fair Lawn, NJ 07410-2324

Phone

(201) 794-7977

NPI assigned

Apr 24, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Simon Eye Associates PAGroup PAC ID 4082684089, 35 clinicians

Sussex Eye Center PAGroup PAC ID 4284623596, 9 clinicians

Delaware PhysiatryGroup PAC ID 0345644357, 13 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

82.42 of 100Reported as group

Quality

64.85

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CBJFCD

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.

• Delaware Physiatry

  dba Delaware NeuroRehab

  • Physical Medicine & Rehabilitation Physician
  • Dover, DE
  • NPI 1174192827
  Medicare reassignment Care Compare group NPD
• Simon Eye Associates PA

  • Optometrist
  • Wilmington, DE
  • NPI 1205871506
  Medicare reassignment Care Compare group NPD
• Sussex Eye Center PA

  • Optometrist
  • Georgetown, DE
  • NPI 1427090570

  Vision Therapy

  Medicare reassignment Care Compare group NPD
• Peninsula Eye Center PA

  • Ophthalmology Physician
  • Salisbury, MD
  • NPI 1164546974
  NPD (past)

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

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551830400000",
    "number": "1730677899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 W MARKET ST",
            "address_2": "STE A",
            "city": "GEORGETOWN",
            "state": "DE",
            "postal_code": "199472322",
            "telephone_number": "302-856-2020",
            "fax_number": "302-856-4970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17-10 FAIR LAWN AVE",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074102324",
            "telephone_number": "201-794-7977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCENT",
        "first_name": "KRISTEN",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-24",
        "last_updated": "2019-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "NJ",
            "license": "27OA00676300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Francis Verney, LSW
• Rebecca Vicente, M.S.W., L.C.S.W.
• Jennifer J Victoria-Proano, MA, LAC, CBIS
• Vidya Vidyasagarrajan
• Julie Vincent
• Hartaj S Virk, M.D.
• Visavis Health Care Medical Group of NJ LLC
• Visual Performance and Learning Center PC (Family Eyecare Associates)
• Sophia Marie Vogel, LSW
• Taya Volin, L.AC., DIPL. O.M.

• Vision Therapy Optometrist in Fair Lawn, NJ
• Providers in Fair Lawn, NJ by specialty
• Vision Therapy Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2019; 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.