Individual provider Active NPI

Kimberly G Orr, OD

  • Optometrist
  • Greensboro, NC
National Provider Identifier
1043611734
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
NC2391 Issued in NC
Practice address
1577 B New Gardens Rd
Greensboro, NC 27410-2798
Phone
(336) 553-0800
Fax
(336) 553-0353
NPI assigned
Sep 12, 2014
Last updated
Aug 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NC2391 NC Primary

Addresses

Primary practice location

1577 B New Gardens Rd
Greensboro, NC 27410-2798

Mailing address

6208 Buckhorn Rd
Greensboro, NC 27410-3124
Phone (919) 414-6938

Other practice location 1

2970 Mearns Castle Dr
Ste 116
Oak Ridge, NC 27310-9767
Phone (336) 583-3533

Other names 1

  • Kimberly Gail Orr Craddock Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20150123002262 NC Practitioner - Optometry 5395069272 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Triad Eye Associates of Greensboro OD PAGroup PAC ID 3779777107, 5 clinicians

Practice addresses (Care Compare)

1577 New Garden Rd
Suite B
Greensboro, NC 27410-2798
Phone (336) 553-0800

PO Box
Suite 4370
Archdale, NC 27263-4370

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NC2391NCMDOptometrist
2391NCMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Triad Eye Associates of High Point OD PA Optometrist CurrentSince Apr 13, 2025 Accepting new patients
Clark Optometric Center PA Optometrist CurrentSince Jan 24, 2018 Accepting new patients
Triad Eye Associates of Greensboro, OD PA Optometrist CurrentSince Jan 1, 2024 Accepting new patients
Triad Eye Associates OD PA Optometrist CurrentSince Jan 1, 2024 Accepting new patients

Locations

10564 N Main St
Ste E
Archdale, NC 27263
Phone (336) 434-4033

2216 E NC Highway 54
Durham, NC 27713
Phone (919) 544-2020

1577 New Garden Rd
Ste B
Greensboro, NC 27410
Phone (336) 553-0800

6425 Old Plank Rd
High Point, NC 27265
Phone (336) 886-7500

6425 Old Plank Rd
Ste 105
High Point, NC 27265
Phone (336) 886-7500

853 Old Winston Rd
Ste 113
Kernersville, NC 27284
Phone (336) 993-3930

200 Perimeter Park Dr
Ste D
Morrisville, NC 27560
Phone (910) 893-4141

598 Airport Blvd
Ste 700
Morrisville, NC 27560
Phone (910) 587-8412

1829 Doctors Dr
Sanford, NC 27330
Phone (919) 776-2032

Organizations & group practices 4

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": "1410480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1043611734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6208 BUCKHORN RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274103124",
            "telephone_number": "919-414-6938",
            "fax_number": "336-434-6680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1577 B NEW GARDENS RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274102798",
            "telephone_number": "336-553-0800",
            "fax_number": "336-553-0353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2970 Mearns Castle Dr",
            "address_2": "Ste 116",
            "address_purpose": "LOCATION",
            "city": "Oak Ridge",
            "state": "NC",
            "postal_code": "273109767",
            "country_code": "US",
            "telephone_number": "336-583-3533",
            "fax_number": "336-583-3534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORR",
        "first_name": "KIMBERLY",
        "middle_name": "G",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-12",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "NC2391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "CRADDOCK",
            "middle_name": "GAIL ORR",
            "credential": "OD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.