Kimberly Castillo, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

33881TLG Issued in CA

Practice address

465 W Channel Islands Blvd
Port Hueneme, CA 93041-2102

Phone

(805) 486-3585

Fax

(805) 485-4400

NPI assigned

Feb 9, 2018

Last updated

Feb 25, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in CA

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

Western University of Health Sciences College of Dental Med, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Silver Strand Optometry Corp

  • Optometrist
  • Port Hueneme, CA
  • NPI 1316516636
  Medicare reassignment NPD Authorized official
• Robert Floyd Collins, OD

  • Optometrist
  • North Hollywood, CA
  • NPI 1366522492
  Medicare reassignment
• National Vision, Inc.

  dba America's Best Contacts & Eyeglasses

  • Optician
  • Palmdale, CA
  • NPI 1265961098
  NPD (past)
• Robert F. Collins

  • Optometrist
  • North Hollywood, CA
  • NPI 1205272820
  NPD (past)

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

{
    "created_epoch": "1518134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645747200000",
    "number": "1063911576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 W CHANNEL ISLANDS BLVD",
            "city": "PORT HUENEME",
            "state": "CA",
            "postal_code": "930412102",
            "telephone_number": "805-486-3585",
            "fax_number": "805-486-3586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 W CHANNEL ISLANDS BLVD",
            "city": "PORT HUENEME",
            "state": "CA",
            "postal_code": "930412102",
            "telephone_number": "805-486-3585",
            "fax_number": "805-485-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "KIMBERLY",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-09",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33881TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leo Borisovich Bugaeff I, IDC/RN
• Andrew Thanh Bui, IDC
• Brandon Earl Burke, SF IDC
• Ted Jamir Camaisa, D.D.S.
• Eric Lance Campbell
• Dianna Castro
• Esther Chan, PHARMD
• Carla Marie Clark, PTA
• Steven Daniel Clement, DO
• Lashay C Clemons, REGISTERED NURSE

• Optometrist in Port Hueneme, CA
• Providers in Port Hueneme, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; 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.