Individual provider Active NPI

Kiran B Jones, OD

  • Optometrist
  • Newport, ME
National Provider Identifier
1811941255
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT872 Issued in ME
Practice address
419 Moosehead TRL
Newport, ME 04953-4054
Phone
(207) 355-3333
Fax
(207) 368-2002
NPI assigned
May 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X OPT872 ME
Optometrist 152W00000X OPT872 ME Primary

Addresses

Primary practice location

419 Moosehead TRL
Newport, ME 04953-4054

Mailing address

419 Moosehead TRL
Newport, ME 04953-4001
Phone (207) 355-3333

Other practice location 1

419 Moosehead Trl
Newport, ME 04953-4001
Phone (207) 355-3333

Other identifiers 6

IdentifierTypeStateIssuer
048925OtherMESTAR ID
431998600MedicaidME
431998601MedicaidME
7339571OtherMEAETNA PPO
1090025OtherMEAETNA
408610099MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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

Enrollment IDStateProvider typePAC IDDetails
I20040708000021 ME Practitioner - Optometry 6800874850 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

166 Silver St
Waterville, ME 04901-5815
Phone (207) 873-3500

419 Moosehead TRL
Newport, ME 04953-4054
Phone (207) 355-3333

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
95.13
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jones Eye Associates, PA Corneal and Contact Management CurrentSince Jun 14, 2004 Accepting new patients
Jones Eye Care Optometrist CurrentSince Nov 18, 2025 Accepting new patients
Eye Center of Central Maine Past Accepting new patients
Penobscot Eye Care PA Optometrist Past Accepting new patients

Locations

663 Stillwater Ave
Bangor, ME 04401
Phone (207) 262-7192

419 Moosehead Trl
Newport, ME 04953
Phone (207) 355-3333

270 Kennedy Memorial Dr
Waterville, ME 04901
Phone (207) 250-4377

166 Silver St
Waterville, ME 04901
Phone (207) 487-5599

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1811941255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 MOOSEHEAD TRL",
            "city": "NEWPORT",
            "state": "ME",
            "postal_code": "049534001",
            "telephone_number": "207-355-3333",
            "fax_number": "207-368-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 MOOSEHEAD TRL",
            "city": "NEWPORT",
            "state": "ME",
            "postal_code": "049534054",
            "telephone_number": "207-355-3333",
            "fax_number": "207-368-2002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "419 Moosehead Trl",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "ME",
            "postal_code": "049534001",
            "country_code": "US",
            "telephone_number": "207-355-3333",
            "fax_number": "207-368-2002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "KIRAN",
        "middle_name": "B",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "ME",
            "license": "OPT872",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ME",
            "license": "OPT872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STAR ID",
            "identifier": "048925",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "431998600",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "431998601",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "7339571",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1090025",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "408610099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, ME

Sources for this page

Verify at the official NPI Registry.