Individual provider Active NPI

Kathleen Kinzley, O.D.

  • Optometrist
  • Manasquan, NJ
National Provider Identifier
1922431154
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00649000 Issued in NJ
Practice address
161 Main St
Manasquan, NJ 08736-3544
Phone
(732) 223-0202
Fax
(732) 223-0490
NPI assigned
Aug 12, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00649000 NJ Primary

Addresses

Primary practice location

161 Main St
Manasquan, NJ 08736-3544

Mailing address

136 Main St
Manasquan, NJ 08736
Phone (732) 223-0202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20160706000841 NJ Practitioner - Optometry 1153613591 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shore Family Eyecare, PAGroup PAC ID 8325134919, 4 clinicians

Practice addresses (Care Compare)

161 Main St
Manasquan, NJ 08736-3544
Phone (732) 223-0202

Merit-based Incentive Payment System (MIPS)

Final score
98.2 of 100Reported as group
Quality
100
Promoting interoperability
94
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Shore Family Eyecare, PA Optometrist CurrentSince Jul 1, 2016 Accepting new patients
Dietrich Opticians, PA PastSince Aug 13, 2023 Accepting new patients

Locations

161 Main St
Manasquan, NJ 08736
Phone (732) 223-0202

136 Main St
Manasquan, NJ 08736
Phone (732) 223-0202

Interoperability endpoints

  • Direct secure messaging: kkinzley@sfe.eyefinity-direct.com

Organizations & group practices 2

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": "1376265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1922431154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 MAIN ST",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "08736",
            "telephone_number": "732-223-0202",
            "fax_number": "732-223-0490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 MAIN ST",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087363544",
            "telephone_number": "732-223-0202",
            "fax_number": "732-223-0490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINZLEY",
        "first_name": "KATHLEEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-12",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00649000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manasquan, NJ

Sources for this page

Verify at the official NPI Registry.