Larry Robert Kinnick, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1477 Issued in CO

Practice address

1800 E Pavilion PL Unit B
Montrose, CO 81401-5499

Phone

(197) 024-9121

Fax

(970) 249-3057

NPI assigned

Jan 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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

Indiana University - School of Optometry, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Colorado West Ophthalmology Assoc. PCGroup PAC ID 2961304217, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.58 of 100Reported as group

Quality

100

Improvement activities

40

Cost

75.26

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lkinnick@cwoa.direct.eyemdemr.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.

• Colorado West Ophthalmology Assoc. PC

  • Ophthalmology Physician
  • Montrose, CO
  • NPI 1639221674
  Medicare reassignment Care Compare group NPD
• Valley Vision Center, Inc.

  • Optician
  • Grand Junction, CO
  • NPI 1336241827
  Medicare reassignment NPD

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506556800000",
    "number": "1801874334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 E PAVILION PL UNIT B",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814015499",
            "telephone_number": "19702491210",
            "fax_number": "970-249-3057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 E PAVILION PL UNIT B",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814015499",
            "telephone_number": "197-024-9121",
            "fax_number": "970-249-3057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINNICK",
        "first_name": "LARRY",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2017-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "1477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80152201",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keystone Physical Therapy LLC
• Patricia Kiebler, CRNA
• Robert G Kilbourn, M.D., PHD
• Kenneth W Kincaide, MA
• Marietta Estelle King, NP
• Jon A Klippert, D.C.
• Wendy R Kloke, LSW
• Isaac J Klostermann, PA-C
• Heidi L Knauss, SLP
• David P Koos, PHD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2017; 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.