DR. JEE ME KANICKY (O.D.) – Optometrist, NPI 1245296599

DR. JEE ME KANICKY (O.D.) is a healthcare provider. based in Vienna, Virginia. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. OPC 003907 (FL). The NPI Number for DR. JEE ME KANICKY (O.D.) is 1245296599

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. JEE ME KANICKY (O.D.)
NPI
1245296599
Phone
(703) 847-8899
Address
1950 OLD GALLOWS RD STE 520
Enumeration Date
25 April 2006
Last Update Date
16 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8139490421
Graduation Year
2003 (23 years ago)
PAC ID
8729985296
Group Practice PAC ID
0143541037
Professional Enrollment ID
I20050630000709
Address ID
FL346395101LA21517DRXX600
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

2,055 OPTOMETRY in FL

Provider Addresses for DR. JEE ME KANICKY (O.D.)

  • 1950 OLD GALLOWS RD STE 520

    VIENNA, VA 221823970

    Phone: (703) 847-8899

    Fax: (571) 223-6780

    Type: Mailing

  • 21517 VILLAGE LAKES SHOPPING CTR DR

    LAND O LAKES, FL 346395101

    Phone: (813) 949-0421

    Fax: (813) 949-0351

    Type: Location

  • State Farm, 6911, Pistol Range Road, Colony West, Hillsborough County, Florida, 33635, United States

    SUITE 103B

    TAMPA, FL 336356335

    Phone: (813) 925-3393

    Fax: (813) 925-3394

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $241.

Total Amount is formed as General ($241) + Research ($0) + Ownership ($0) = $241.

Last reported payment date: 2024-05-14 • Largest payer in this snapshot: CooperVision Inc. ($216).

Total Amount

$241

General + Research + Ownership

Payments

6

Total payment records

General Amount

$241

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-14

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-06-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050630000709IOptometryFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system3030$0
99213Established patient office or other outpatient visit, 20-29 minutes1919$0
92250Photography of the retina1515$0
92004New patient complete exam of visual system1212$0
View full utilization report →

Insurance plans in this area (ZIP 22182)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0143541037View full group profile
NameSpecialtyState
-FL
O P T O M E T R YFL
O P T O M E T R YVA
O P T O M E T R YFL
O P T O M E T R YFL
-VA
O P T O M E T R YFL
O P T O M E T R YVA
O P T O M E T R YFL
O P T O M E T R YFL

Reviews

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Frequently asked questions

Can I cross-check DR. JEE ME KANICKY (O.D.) using NPI 1245296599?
NPI 1245296599 belongs to DR. JEE ME KANICKY (O.D.); compare other details if you need extra assurance.
Would DR. JEE ME KANICKY (O.D.) appear as active to a payer?
You can treat DR. JEE ME KANICKY (O.D.) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with DR. JEE ME KANICKY (O.D.)?
DR. JEE ME KANICKY (O.D.)'s record emphasizes Optometrist. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. JEE ME KANICKY (O.D.)?
Directory geography for DR. JEE ME KANICKY (O.D.) centers on Vienna, Virginia.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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