Scott Kennedy

Primary specialty

OptometristTaxonomy code 152W00000X

License

592 Issued in SD

Practice address

1230 North Ave
Suite 3
Spearfish, SD 57783-3028

Phone

(605) 642-4656

Fax

(605) 722-5622

NPI assigned

Mar 8, 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 SD

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

Illinois College of Optometry at Chicago, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lifetime EyecareGroup PAC ID 7517948011, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

94.98 of 100Reported as group

Quality

91.42

Promoting interoperability

99

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: scott.kennedy@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.

• Lifetime Eyecare

  • Optometrist
  • Spearfish, SD
  • NPI 1346362373
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358121600000",
    "number": "1871561795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 UNIVERSITY ST",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577831821",
            "telephone_number": "605-717-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 NORTH AVE",
            "address_2": "SUITE 3",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577833028",
            "telephone_number": "605-642-4656",
            "fax_number": "605-722-5622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "SCOTT",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2013-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SD",
            "license": "592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9201370",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Holly Joyce
• Kristina Danielle Jurgensen, APRN CNP
• Shannon Kahrig, LMT, MMP
• Kathryn O Haivala, OD PLLC
• Richard L. Keim, MD
• Kent Stephen Kennon, RPH
• Angela Marie Kent, CRNA
• Jesse Taylor Kimball
• Marina Kimball, DC
• Candace King

• Optometrist in Spearfish, SD
• Providers in Spearfish, SD by specialty
• Optometrist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2013; 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.