KENTON VISION CARE, INC. – Optometrist, NPI 1366490559

KENTON VISION CARE, INC. is a healthcare provider. based in Kenton, Ohio. specializing in Optometrist. The NPI Number for KENTON VISION CARE, INC. is 1366490559

Main info

Organization
Name
KENTON VISION CARE, INC.
NPI
1366490559
Phone
(419) 673-0492
Address
110 N HIGH ST
Authorized Official
DR. JONATHAN L WARNER PRESIDENT O.D.
Enumeration Date
4 May 2006
Last Update Date
20 March 2009
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:20State licenses:0Digital endpointsOther names

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Provider Addresses for KENTON VISION CARE, INC.

  • 110, North High Street, North Main-North Detroit Street Historic District, Kenton, Hardin County, Ohio, 43326, United States

    KENTON, OH 433261549

    Phone: (419) 673-0492

    Type: Location

  • PO BOX 635

    KENTON, OH 433260635

    Phone: (419) 673-0492

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-09-30

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-06-30 (715 days ago).

Enrollment records

2

Earliest due date

2024-06-30

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
O20100316000243OClinic/Group PracticeOH2024-06-30
O20100930048278OPhysician - OptometristOH2026-05-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 43326)

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Reviews

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Frequently asked questions

Does KENTON VISION CARE, INC. share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KENTON VISION CARE, INC. uses 1366490559.
Can I rely on KENTON VISION CARE, INC. being an active provider?
As of the registry snapshot, KENTON VISION CARE, INC. is marked active.
What is KENTON VISION CARE, INC. best known for clinically?
Directory data describes KENTON VISION CARE, INC. with Optometrist. Clinical services aligned with this taxonomy classification.
Where is KENTON VISION CARE, INC. based?
KENTON VISION CARE, INC. is tied to Kenton, Ohio in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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