Active NPI
Jared Scott Kenyan, O.D.
- Optometrist
- Houston, TX
National Provider Identifier
1841211372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 6894T
- Practice address
- 8100 Highway 6 N Ste a
Houston, TX 77095-1923 - Phone
- (281) 550-2020
- Fax
- (281) 550-2505
- NPI assigned
- Jul 21, 2006
- Last updated
- Jul 16, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 6894T | TX | Primary |
Addresses
Primary practice location
8100 Highway 6 N Ste a
Houston, TX 77095-1923
Mailing address
8100 Highway 6 N Ste a
Houston, TX 77095-1923
Phone (281) 550-2020
Other practice location 1
1506 Judson Rd
Longview, TX 75601-3919
Phone (903) 758-8832
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6894T | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ward Eye Associates PC | Optometrist | Past | Accepting new patients |
| Bright Eyes Cataract and Laser PLLC | Optometrist | Past | Accepting new patients |
| John D. Chatelain, O.D.,P.a. | Optometrist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Marshall, TX
- NPI 1184208134
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563235200000",
"number": "1841211372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8100 HIGHWAY 6 N STE A",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770951923",
"telephone_number": "281-550-2020",
"fax_number": "281-550-2505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8100 HIGHWAY 6 N STE A",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770951923",
"telephone_number": "281-550-2020",
"fax_number": "281-550-2505"
}
],
"practiceLocations": [
{
"address_1": "1506 Judson Rd",
"address_purpose": "LOCATION",
"city": "Longview",
"state": "TX",
"postal_code": "756013919",
"country_code": "US",
"telephone_number": "903-758-8832",
"fax_number": "903-238-8876",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KENYAN",
"first_name": "JARED",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2019-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "6894T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.