Kylie Ann Centore

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG003414 Issued in PA

Practice address

220 E McMurray Rd
Canonsburg, PA 15317-2948

Phone

(724) 942-1300

NPI assigned

Jul 10, 2018

Reactivated

Jun 4, 2024

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 names 1

• Kylie Ann Auman Professional name

Medicare fee-for-service enrollment

Enrolled in PA

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

Pennsylvania College of Optometry, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Seraly Eye Care Associates LLCGroup PAC ID 3971819848, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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 and National Provider Directory roles.

• Seraly Eye Care Associates LLC

  • Medical Specialty Clinic/Center
  • MC Murray, PA
  • NPI 1346639861
  Medicare reassignment Care Compare group NPD
• Pennsylvania College of Optometry

  • Optometrist
  • Philadelphia, PA
  • NPI 1134166572
  NPD (past)

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

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1043706377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 E MCMURRAY RD STE B",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153172948",
            "telephone_number": "724-942-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 E MCMURRAY RD",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153172948",
            "telephone_number": "724-942-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CENTORE",
        "first_name": "KYLIE",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-10",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "deactivation_date": "2024-04-29",
        "reactivation_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KYLIE",
            "last_name": "AUMAN",
            "middle_name": "ANN",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Carter Home Care, LLC
• Lynn Ann Casciola, RPH
• Sam Douglas Caurdy, MSCP, LPC
• Courtney Cavanaugh, LPC
• Celtic Healthcare of Westmoreland LLC
• Annamaria Cerminara, PA-C
• Anthony Johns Cespites, DC
• Christopher Charles
• Chiropractic Care, P.C.
• Choice Respiratory Care Inc.

• Optometrist in Canonsburg, PA
• Providers in Canonsburg, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.