Jacqueline Kenney, OD
Jacqueline Kenney, OD is a provider specialising in Pediatric Optometrist in Beverly, MA, registered under NPI 1033809884. This provider registers 3 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 77 HERRICK ST STE 102, Beverly, MA 01915. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| OPT5618 | MA | Pediatric Optometrist primary |
| OPT5618 | MA | Optometrist |
This provider holds licence OPT5618 issued in MA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Optometry
- PAC ID
- 5193189074
- Enrollment ID
- I20230911002713
Medicare enrolment is recorded as approved under the provider type Practitioner - Optometry. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Pediatrics covers
Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children. NUCC Health Care Provider Taxonomy, code 152WP0200X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 152WP0200X | Pediatric Optometrist Pediatrics | OPT5618 | MA | primary |
| 152W00000X | Optometrist | OPT5618 | MA | |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1033809884 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | May 15, 2023 |
| Last updated | Aug 12, 2024 |
| Status | Active |
| Sole proprietor | No |
| Credential | OD |
| Practice address |
77 HERRICK ST STE 102 Beverly, MA 01915 (978) 338-4321 Fax (978) 927-1010 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 3 | 3 | 8 | 0 | 9 | 8 | 8 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 6 | 3 | 7 | 0 | 9 | 8 | 7 |
Sum = 66 · next multiple of 10 = 70 · check digit = 4 · actual last digit = 4
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.