Individual provider Active NPI

Kamryn Kemper, OD

  • Optometrist
  • Lakewood, CO
National Provider Identifier
1952144198
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.0004032 Issued in CO
Practice address
355 S Wadsworth Blvd Unit D
Lakewood, CO 80226-3136
Phone
(720) 962-6906
NPI assigned
Jun 17, 2024
Last updated
Jun 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.0004032 CO Primary

Addresses

Primary practice location

355 S Wadsworth Blvd Unit D
Lakewood, CO 80226-3136

Mailing address

12412 Riverview Rd
Eden Prairie, MN 55347-4605
Phone (952) 451-9937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20240705003127 CO Practitioner - Optometry 1456895077 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alex Zemke OD PLLCGroup PAC ID 5193008993, 4 clinicians

Practice addresses (Care Compare)

2290 Kipling St
Unit 1
Lakewood, CO 80215-1546
Phone (303) 238-9900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT.0004032COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sowash Optometry Group PC Optometrist CurrentSince Jul 30, 2024 Accepting new patients
Sowash Optometry Group, PC Optometrist CurrentSince Jul 30, 2024 Accepting new patients

Locations

355 S Wadsworth Blvd
Unit D
Lakewood, CO 80226
Phone (720) 962-6906

4206 N Freeway Rd
Pueblo, CO 81008
Phone (719) 253-2538

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1718582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1952144198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12412 RIVERVIEW RD",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553474605",
            "telephone_number": "952-451-9937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 S WADSWORTH BLVD UNIT D",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802263136",
            "telephone_number": "720-962-6906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMPER",
        "first_name": "KAMRYN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-17",
        "last_updated": "2024-06-17",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0004032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.