Kimberly S. Castellucci, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1082-OD Issued in WV

Practice address

99 7TH St
Wellsburg, WV 26070-1656

Phone

(304) 737-3440

NPI assigned

Aug 29, 2006

Last updated

Feb 26, 2024By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV

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

Specialty

Optometry

Education

New England College of Optometry, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Kimberly S Castellucci OD PLLC

  dba Wellsburg Vision Clinic

  • Optometrist
  • Wellsburg, WV
  • NPI 1518720382
  Medicare reassignment NPD Authorized official
• Aeg Pennsylvania Professional, Inc

  dba Eyetique -Sewickley

  • Optometrist
  • Sewickley, PA
  • NPI 1104238088
  NPD
• Aeg Pennsylvania Professional, Inc

  dba Eyetique- Squirrel Hill

  • Optometrist
  • Pittsburgh, PA
  • NPI 1316956030
  NPD
• Visionworks, Inc

  dba Visionworks

  • Eyewear Supplier
  • Simpsonville, SC
  • NPI 1699571166
  NPD
• Visionworks, Inc.

  dba Visionworks

  • Optometrist
  • Erie, PA
  • NPI 1063579837
  NPD
• Adrienne Melgary

  • Optometrist
  • Wellsburg, WV
  • NPI 1750567814
  NPD (past)

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1023126018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MAPLE AVE",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260035732",
            "telephone_number": "757-403-2405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 7TH ST",
            "city": "WELLSBURG",
            "state": "WV",
            "postal_code": "260701656",
            "telephone_number": "304-737-3440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTELLUCCI",
        "first_name": "KIMBERLY",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "1082-OD",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009235370",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha A Byrum
• Kimberly Caldwell
• Chelsea M Camerlengo, PA-C
• Casondra Gail Camilletti
• Elissa Michelle Caprini
• Change Incorporated (FMC SBHC - Brooke Complex)
• Rebecca Cheeks
• Tiffany Cheeks
• Alexis Jolie Cipoletti
• Carol Lynn Cipoletti, RN, BSN

• Optometrist in Wellsburg, WV
• Providers in Wellsburg, WV by specialty
• Optometrist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.