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DR. KENNETH WARBURTON OD
NPI 1861654303
Optometrist in New York, NY

Active since June 26, 2008PECOS Enrolled
167 LENOX AVE, NEW YORK, NY 10026(212) 222-6100(212) 222-6606 Get Directions Write a Review

NPPES record last updated: June 26, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Kenneth Warburton Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KENNETH WARBURTON OD (NPI 1861654303) is an individual optometrist in New York, New York, licensed in New York (006975) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861654303
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. KENNETH WARBURTONCredential: OD
Location Address167 LENOX AVENew York, NY 10026-1320
Mailing Address218 E 11th St Apt 1sNew York, NY 10003-7340 · (212) 222-6100 · Fax (212) 222-6606
Phone(212) 222-6100
Fax(212) 222-6606
Sole ProprietorNo
Enumeration DateJune 26, 2008
✔ NPI 1861654303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in NY · 006975
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
167 LENOX AVE, New York, NY 10026
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kenneth Warburton Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kenneth Warburton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Shine Optique Corp
6.2 mi
Point of Service
291 BEDFORD AVE
Brooklyn, NY 11211
  • Reassigned Medicare billing, New York enrollment
NPI 1538641444 (718) 218-8866

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10026 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. DEJUAN LAMONT WYNN OPTICIAN
Technician/Technologist (Optician)
167 LENOX AVE
NEW YORK, NY 10026
New York County (212) 222-6100
DR. ERICA OTOO OD
Optometrist
167 LENOX AVE
NEW YORK, NY 10026
New York County (212) 222-6100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Warburton's NPI number?

The NPI number for Kenneth Warburton is 1861654303. It was assigned to this individual provider in the NPPES registry on June 26, 2008.

Where is Kenneth Warburton located?

Kenneth Warburton practices at 167 Lenox Ave, New York, NY 10026. The listed phone number is (212) 222-6100.

What is Kenneth Warburton's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Kenneth Warburton enrolled in Medicare?

Yes. Kenneth Warburton is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kenneth Warburton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Warburton reassigns Medicare benefits to Shine Optique Corp (Brooklyn, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kenneth Warburton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kenneth Warburton accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 3 other insurers list Kenneth Warburton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kenneth Warburton was last updated on June 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.