Individual provider Active NPI

Kathryn Mar Jip Pomakis, OD

  • Optometrist
  • Ocala, FL
National Provider Identifier
1003169210
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4899 Issued in FL
Practice address
4414 SW College Rd Ste 1462
Ocala, FL 34474-4790
Phone
(352) 622-5183
Fax
(352) 629-5026
NPI assigned
Oct 25, 2012
Last updated
May 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC4899 FL Primary

Addresses

Primary practice location

4414 SW College Rd Ste 1462
Ocala, FL 34474-4790

Mailing address

1500 SE Magnolia Ext, Suite 101
Ocala, FL 34471-4452
Phone (352) 622-5183

Other practice location 1

8520 SW Highway 200
Ocala, FL 34481-7730
Phone (352) 622-5183

Other identifiers 1

IdentifierTypeStateIssuer
2IV39OtherFLBCBS

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address kathryn.marjip.p1@direct.ocalaeye.nextgenshare.com Direct
Direct Messaging Address kathryn.marjip.p1@direct.ocalaeye.nextgenshare.com Direct
Direct Messaging Address kathryn.marjip.p1@direct.ocalaeye.nextgenshare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161208000818 FL Practitioner - Optometry 1254611213 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ocala Eye PAGroup PAC ID 3375503402, 23 clinicians

Practice addresses (Care Compare)

4414 SW College Rd
Unit 1462
Ocala, FL 34474-2701
Phone (352) 622-5183

Merit-based Incentive Payment System (MIPS)

Final score
88.15 of 100Reported as group
Quality
85.3
Promoting interoperability
100
Improvement activities
40
Cost
75.21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC4899FLMDCornea and External Diseases Specialist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ocala Eye PA Optometrist CurrentSince Nov 1, 2016 Accepting new patients

Locations

1500 SE Magnolia Ext
Ocala, FL 34471

1500 SE Magnolia Ext
Ste 101
Ocala, FL 34471
Phone (352) 694-8987

4414 SW College Rd
Unit 1462
Ocala, FL 34474
Phone (352) 694-8972

8520 SW Highway 200
Ocala, FL 34481

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1351123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1003169210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 SE MAGNOLIA EXT, SUITE 101",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344714452",
            "telephone_number": "352-622-5183",
            "fax_number": "352-629-5026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4414 SW COLLEGE RD STE 1462",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344744790",
            "telephone_number": "352-622-5183",
            "fax_number": "352-629-5026"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8520 SW Highway 200",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344817730",
            "country_code": "US",
            "telephone_number": "352-622-5183",
            "fax_number": "352-629-5026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POMAKIS",
        "first_name": "KATHRYN",
        "middle_name": "MAR JIP",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-25",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "2IV39",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kathryn.marjip.p1@direct.ocalaeye.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "Service Provider Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD / PHI",
            "address_1": "8520 SW Highway 200",
            "city": "Ocala",
            "state": "FL",
            "country_code": "US",
            "postal_code": "344817730",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kathryn.marjip.p1@direct.ocalaeye.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "Service Provider Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD / PHI",
            "address_1": "1500 SE Magnolia Ext",
            "city": "Ocala",
            "state": "FL",
            "country_code": "US",
            "postal_code": "344714463",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kathryn.marjip.p1@direct.ocalaeye.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "Service Provider Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD / PHI",
            "address_1": "4414 SW College Rd Ste 1462",
            "city": "Ocala",
            "state": "FL",
            "country_code": "US",
            "postal_code": "344744790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.