Active NPI
Jennifer Lynn Kessler, O.D.
- Optometrist
- Missoula, MT
National Provider Identifier
1811259336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1939
- Practice address
- 2901 Brooks St Ste B7
Missoula, MT 59801-7725 - Phone
- (406) 549-9078
- Fax
- (406) 549-3762
- NPI assigned
- Jun 11, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 8339880-9934 | UT | |
| Optometrist | 152W00000X | 1939 | MT | Primary |
Addresses
Primary practice location
2901 Brooks St Ste B7
Missoula, MT 59801-7725
Mailing address
12 E Magnolia Dr
Belgrade, MT 59714-9264
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191002001553 | MT | Practitioner - Optometry | 5496905168 | Practice locations: Missoula, MT |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1939 | MT | MD | Optometrist |
| 8339880-9934 | UT | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellford Eye Center PLLC | Optometrist | Current | Accepting new patients |
| Standard Optical Co | Optometrist | Past | Accepting new patients |
| Standard Optical Co | Optometrist | Past | Accepting new patients |
| Standard Optical Co | Optometrist | Past | Accepting new patients |
| Standard Optical Co | Optometrist | Past | Accepting new patients |
| Standard Optical Co | Optometrist | Past | Accepting new patients |
| Standard Optical Co | Optometrist | Past | Accepting new patients |
Locations
1425 W Main St
Unit B
Bozeman, MT 59715
Phone (406) 586-2173
Organizations & group practices 7
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.
-
- Optometrist
- Bozeman, MT
- NPI 1275426025
-
- Optometrist
- Holladay, UT
- NPI 1043311582
-
- Optometrist
- Roy, UT
- NPI 1396832655
-
- Optometrist
- Tooele, UT
- NPI 1477654846
-
- Optometrist
- Murray, UT
- NPI 1508967977
-
- Optometrist
- Taylorsville, UT
- NPI 1689775041
-
- Optometrist
- Layton, UT
- NPI 1760583298
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567468800000",
"number": "1811259336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 E MAGNOLIA DR",
"city": "BELGRADE",
"state": "MT",
"postal_code": "597149264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 BROOKS ST STE B7",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598017725",
"telephone_number": "406-549-9078",
"fax_number": "406-549-3762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KESSLER",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-11",
"last_updated": "2019-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "UT",
"license": "8339880-9934",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MT",
"license": "1939",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.