Individual provider Active NPI

Richard A Kay, O.D.

  • Optometrist
  • Colebrook, NH
National Provider Identifier
1871666537
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0416 Issued in NH
Practice address
108 Main St
Colebrook, NH 03576-3066
Phone
(603) 237-8777
NPI assigned
Nov 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0416 NH Primary

Addresses

Primary practice location

108 Main St
Colebrook, NH 03576-3066

Mailing address

108 Main St
Colebrook, NH 03576-3066
Phone (603) 237-8777

Other identifiers 1

IdentifierTypeStateIssuer
30003024MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20061228000123 NH Practitioner - Optometry 6709821036 Reassigns benefits to 1 organization
Practice locations: Colebrook, NH

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jordan Family Eyecare IncGroup PAC ID 8628168010, 4 clinicians

Practice addresses (Care Compare)

8 Lilac Mall
Rochester, NH 03867-1350
Phone (603) 335-6666

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0416NHMDSports Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jordan Family Eyecare Inc Optometrist CurrentSince Oct 28, 2013 Accepting new patients

Locations

180 Farmington Rd
Rochester, NH 03867
Phone (603) 335-4522

2 Union St
Rochester, NH 03867
Phone (603) 237-8777

8 Lilac Mall
Rochester, NH 03867
Phone (603) 335-6666

Organizations & group practices 1

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": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871666537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 MAIN ST",
            "city": "COLEBROOK",
            "state": "NH",
            "postal_code": "035763066",
            "telephone_number": "603-237-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 MAIN ST",
            "city": "COLEBROOK",
            "state": "NH",
            "postal_code": "035763066",
            "telephone_number": "603-237-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAY",
        "first_name": "RICHARD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NH",
            "license": "0416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30003024",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colebrook, NH

Sources for this page

Verify at the official NPI Registry.