National Provider Identifier
Jaime Larsen Kenny, OD
Jaime Larsen Kenny, OD is listed in the NPPES registry with a primary specialty of Optometrist in Webster, NY and a listed phone number of (585) 872-2200.
Profile Overview
- NPI
- 1154368736
- Provider Type
- Individual
- Primary Specialty
- Optometrist
- Enumeration Date
- June 01, 2006
- Last Updated
- February 06, 2018
Practice Location
- 1028 Ridge RD Ste 104
- Empire Vision Centers
- Webster, NY 14580-2973
Phone: (585) 872-2200
Mailing Address
- 1028 Ridge RD
- Ste 104
- Webster, NY 14580-2975
Specialties
- Optometrist (152W00000X)
Full Record
- NPI
- 1154368736
- Entity Type
- Individual
- Last Name
- Kenny
- First Name
- Jaime
- Middle Name
- Larsen
- Name Prefix
- Dr.
- Credential
- OD
- Provider Other Last Name
- Van Fossan
- Provider Other First Name
- Jaime
- Provider Other Middle Name
- Larsen
- Provider Other Name Prefix Text
- Dr.
- Provider Other Credential Text
- OD
- Provider Other Last Name Type Code
- 5
- Mailing Street Address
- 1028 Ridge RD
- Mailing Address Line 2
- Ste 104
- Mailing City
- Webster
- Mailing State
- NY
- Mailing ZIP Code
- 14580-2975
- Mailing Country
- US
- Mailing Phone
- (315) 445-7465
- Mailing Fax
- (315) 445-7675
- Practice Street Address
- 1028 Ridge RD Ste 104
- Practice Address Line 2
- Empire Vision Centers
- Practice City
- Webster
- Practice State
- NY
- Practice ZIP Code
- 14580-2973
- Practice Country
- US
- Practice Phone
- (585) 872-2200
- Practice Fax
- (585) 288-8998
- Enumeration Date
- June 01, 2006
- Last Updated
- February 06, 2018
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Optometrist (152W00000X)