Cecilia Kavanagh, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

8756 Issued in CA

Practice address

951 Palomar Airport Rd
Carlsbad, CA 92011-1110

Phone

(760) 603-9558

Fax

(760) 603-9533

NPI assigned

Dec 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 27, 2013 through Jul 27, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1166227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013079748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 BONAIR ST",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920375975",
            "telephone_number": "760-603-9558",
            "fax_number": "760-603-9533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 PALOMAR AIRPORT RD",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920111110",
            "telephone_number": "760-603-9558",
            "fax_number": "760-603-9533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAVANAGH",
        "first_name": "CECILIA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "8756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Cameron Speech Therapy, P.C
• Kathmed
• Victoria Elizabeth Katomski, M.S. CCC-SLP
• Miranda Katz
• Nerice Lloyd Kaufman, MA,M.DIV,D.MIN,LMFT
• Kathleen Kawamura, PHD
• Toshiya Kawano, DC, DACM, L.AC
• Salina KC
• Jessica Keane
• Shirley Marie Keating-Hudson, SLP

• Optometrist in Carlsbad, CA
• Providers in Carlsbad, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.