Individual provider Active NPI

Kara I Gibbs, O.D.

  • Optometrist
  • Bradford, PA
National Provider Identifier
1083605745
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV006826-1 Issued in NY
Practice address
20 Main St
Bradford, PA 16701-2004
Phone
(814) 368-7090
NPI assigned
Nov 2, 2005
Last updated
Apr 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG001527 PA
Optometrist 152W00000X TUV006826-1 NY Primary

Addresses

Primary practice location

20 Main St
Bradford, PA 16701-2004

Mailing address

1576 Swede Rd
Ashville, NY 14710-9562
Phone (716) 483-2020

Other identifiers 2

IdentifierTypeStateIssuer
101142710MedicaidPA
02593093MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041012000664 NY Practitioner - Optometry 1850351149 Reassigns benefits to 3 organizations
I20060120000148 PA Practitioner - Optometry 1850351149 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Eye Health Center P CGroup PAC ID 0941248959, 2 clinicians
Eye Care Vision Optometry PCGroup PAC ID 2365848165, 32 clinicians

Practice addresses (Care Compare)

20 Main St
Bradford, PA 16701-2004
Phone (814) 368-7090

260 Christopher LN
Suite 102a
Staten Island, NY 10314-1631
Phone (646) 921-1738

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV006826-1NYMDOptometrist
006826NYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Eye Health Center P C Optometrist CurrentSince Aug 1, 2021 Accepting new patients
Sightrite Inc Optometrist CurrentSince Jun 13, 2017 Accepting new patients
Jamestown Optometric Group, PC Optometrist CurrentSince Mar 11, 2021 Accepting new patients
Eye Care Vision Optometry P.C. Optometrist CurrentSince Jan 1, 2022 Accepting new patients
Westfield Optical Studio LLC Optometrist Past Accepting new patients
Community Eye Care Specialists, P.C. Optometrist PastSince Mar 15, 2001 Accepting new patients
Community Eye Care Specialists P C Past Accepting new patients

Locations

267 Broadway
Fl 2
Brooklyn, NY 11211
Phone (716) 912-5877

1526 New Haven Ave
Far Rockaway, NY 11691
Phone (718) 471-7200

555 Fairmount Ave
Jamestown, NY 14701
Phone (716) 664-7601

779 Fairmount Ave
Jamestown, NY 14701
Phone (716) 322-9088

260 Christopher Ln
Ste 102A
Staten Island, NY 10314
Phone (914) 370-4892

918 James St
Syracuse, NY 13203
Phone (315) 474-1561

612 Corporate Way
Ste 2M
Vly Cottage, NY 10989
Phone (718) 362-1403

Organizations & group practices 7

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": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1083605745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1576 SWEDE RD",
            "city": "ASHVILLE",
            "state": "NY",
            "postal_code": "147109562",
            "telephone_number": "716-483-2020",
            "fax_number": "716-488-9295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MAIN ST",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167012004",
            "telephone_number": "814-368-7090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBBS",
        "first_name": "KARA",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-02",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001527",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006826-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101142710",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02593093",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradford, PA

Sources for this page

Verify at the official NPI Registry.