Kenneth Headington, O.D.

Primary specialty

Pediatric OptometristTaxonomy code 152WP0200X

License

0002967 Issued in CO

Practice address

7400 E Orchard Rd
Suite 175-S
Greenwood Village, CO 80111-2528

Phone

(303) 850-9499

Fax

(303) 850-7032

NPI assigned

Jul 10, 2013

Last updated

Aug 29, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 CO

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

New England College of Optometry, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• About Eyes Optometry LLC

  • Optometrist
  • Northglenn, CO
  • NPI 1467844696
  Medicare reassignment NPD Authorized official
• Northglenn Optometric Center, P.C.

  • Optometrist
  • Northglenn, CO
  • NPI 1922281377
  NPD (past)

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

{
    "created_epoch": "1373414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377734400000",
    "number": "1780025411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 E ORCHARD RD",
            "address_2": "SUITE 175-S",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112528",
            "telephone_number": "303-850-9499",
            "fax_number": "303-850-7032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 E ORCHARD RD",
            "address_2": "SUITE 175-S",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112528",
            "telephone_number": "303-850-9499",
            "fax_number": "303-850-7032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEADINGTON",
        "first_name": "KENNETH",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-10",
        "last_updated": "2013-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "CO",
            "license": "0002967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Kate Haynes, MS, CCC-SLP
• Baylee Haynie
• Maria Hays, AA
• HCS Ny Ipa LLC
• Li He, MD
• Healing Grove Integrative Behavioral Medicine
• Health House Chiropractic PLLC
• Health Professionals, LTD
• Health Trans Pharmacy
• Healthone Carenow Urgent Care, LLC

• Pediatric Optometrist in Greenwood Village, CO
• Providers in Greenwood Village, CO by specialty
• Pediatric Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; 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.