Paul T Kempkes, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TU-004675 Issued in NY

Practice address

40 Catherwood Rd
Sterling Optical, Pyramid Mall
Ithaca, NY 14850-1056

Phone

(607) 257-2333

Fax

(607) 257-1763

NPI assigned

Mar 12, 2007

Sex

Male

Sole proprietor

Yes

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 SC

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Bluffton Total Eye Care

  • Eyewear Supplier
  • Bluffton, SC
  • NPI 1932370202
  Medicare reassignment NPD

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942332101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 BRICKYARD RD",
            "city": "LANSING",
            "state": "NY",
            "postal_code": "148829018",
            "telephone_number": "607-533-4680",
            "fax_number": "607-257-1763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 CATHERWOOD RD",
            "address_2": "STERLING OPTICAL, PYRAMID MALL",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148501056",
            "telephone_number": "607-257-2333",
            "fax_number": "607-257-1763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMPKES",
        "first_name": "PAUL",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TU-004675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00991093",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Theresa Keller, FNP-C
• Edward Robert Kelly
• Gretchen Mary Kelly, PHARM.D
• Sherman Kelly, LCSW-R
• Alicia Kemmler
• Kendal at Ithaca
• Kendal at Ithaca
• Lisa Anne Kendall, LCSW-R
• Delia Kenkel, M.D.
• Jane C. Kennedy, M.S.A., L.AC

• Optometrist in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.