Individual provider Active NPI

Jennifer N Kehrer, OD

  • Optometrist
  • Calais, ME
National Provider Identifier
1902258361
Registry record updated Jul 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT975 Issued in ME
Practice address
4 Park St
Calais, ME 04619-1609
Phone
(207) 454-2277
Fax
(207) 454-2910
NPI assigned
Jul 11, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT975 ME Primary

Addresses

Primary practice location

4 Park St
Calais, ME 04619-1609

Mailing address

4 Park St
Calais, ME 04619-1609
Phone (207) 454-2277

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
I20160919000282 ME Practitioner - Optometry 6406143569 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

19 Court St
Machias, ME 04654-2108
Phone (207) 454-2277

4 Park St
Calais, ME 04619-1609
Phone (207) 454-2277

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery62

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sunrise Eye Care PA Optometrist CurrentSince Jul 5, 2016 Accepting new patients
Sunrise Eye Care PA Optometrist CurrentSince Jul 5, 2016 Accepting new patients
Hallowell & Macmannis, O.D., P.a. Optometrist Past Accepting new patients

Locations

4 Park St
Calais, ME 04619
Phone (207) 454-2277

19 Court St
Machias, ME 04654
Phone (207) 255-4412

Organizations & group practices 3

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": "1468195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468195200000",
    "number": "1902258361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 PARK ST",
            "city": "CALAIS",
            "state": "ME",
            "postal_code": "046191609",
            "telephone_number": "207-454-2277",
            "fax_number": "207-454-2910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 PARK ST",
            "city": "CALAIS",
            "state": "ME",
            "postal_code": "046191609",
            "telephone_number": "207-454-2277",
            "fax_number": "207-454-2910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEHRER",
        "first_name": "JENNIFER",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-11",
        "last_updated": "2016-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ME",
            "license": "OPT975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calais, ME

Sources for this page

Verify at the official NPI Registry.