Kenneth A Lebow, O.D., F.A.A.O.

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

0618000344 Issued in VA

Practice address

345 Edwin Dr
Virginia Beach, VA 23462-4522

Phone

(757) 497-5555

Fax

(757) 499-2636

NPI assigned

Sep 20, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in VA

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

Merit-based Incentive Payment System (MIPS)

Final score

91.91 of 100Reported as group

Quality

100

Improvement activities

40

Cost

73.04

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1902892599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 EDWIN DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234624522",
            "telephone_number": "757-497-5555",
            "fax_number": "757-499-2636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 EDWIN DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234624522",
            "telephone_number": "757-497-5555",
            "fax_number": "757-499-2636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBOW",
        "first_name": "KENNETH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D., F.A.A.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "VA",
            "license": "0618001847",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "VA",
            "license": "0618000344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "006473",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE/CHAMPUS",
            "identifier": "VA0000456",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Darden Leary
• Michael Leary
• Tina Denise Leatherbury
• Leave Your Mark Life Coaching
• Diane Leavitt
• Alison Leclaire
• Ivana Jeanne Leclerc, MS,LPCR
• Cheyenne Danae Ledbetter, RBT
• Jo-Ann Marie Ledbury, 05/19/2009
• Krystal Light Leddy, PSYD

• Corneal and Contact Management Optometrist in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Corneal and Contact Management Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.