Jason L Kaminski, O.D., F.A.A.O.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1875 Issued in CO

Practice address

2130 Mountain View Ave Ste 207
Longmont, CO 80501-3177

Phone

(303) 772-2755

Fax

(303) 772-0104

NPI assigned

May 31, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Myeyedr Optometry of Colorado PCGroup PAC ID 7113359415, 58 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jasonlkaminski@direct.revolutionehr.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.

• Myeyedr Optometry of Colorado PC

  • Optometrist
  • Parker, CO
  • NPI 1174170526
  Medicare reassignment Care Compare group NPD
• Myeyedr Optometry of Colorado PC

  • Optometrist
  • Parker, CO
  • NPI 1164382842
  NPD
• Myeyedr Optometry of Colorado PC

  • Optometrist
  • Greeley, CO
  • NPI 1518623933
  NPD

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1790788156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 MOUNTAIN VIEW AVE STE 207",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805013177",
            "telephone_number": "303-772-2755",
            "fax_number": "303-772-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMINSKI",
        "first_name": "JASON",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D., F.A.A.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2023-03-07",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CO",
            "license": "1875",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "1875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43271049",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaiser Foundation Health Plan of Colorado
• Kaiser Foundation Health Plan of Colorado
• Kaiser Foundation Health Plan of Colorado
• Francis J Kaklauskas, PSY.D.
• Gregg Hal Kalbfleisch, DDS
• Thomas E Kammer, D.D.S.
• Susan Kanemasu, CACIII
• Justin Michael Kanoff, M.D.
• Sasha Kapil, MD
• Mohammad Karbassi, M.D.

• Optometrist in Longmont, CO
• Providers in Longmont, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.