Kimberly A Steele, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618002651 Issued in VA

Practice address

3575 Bridge Rd Ste 19
Suffolk, VA 23435-1844

Phone

(757) 638-2015

Fax

(757) 638-2010

NPI assigned

Jul 26, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Kimberly A Mistiszyn Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in VA

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, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Enochs Eye Care PLLCGroup PAC ID 0941202782, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kimmistiszyn@enochseyecare.eyefinity-direct.com

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.

• Enochs Eye Care PLLC

  • Optometrist
  • Suffolk, VA
  • NPI 1053458000
  Medicare reassignment Care Compare group NPD
• Advanced Eyecare Specialists LLC

  • Clinic/Center
  • Swiftwater, PA
  • NPI 1568644466

  Optometrist

  NPD (past)
• Frank M. Scatton

  • Optometrist
  • Hazleton, PA
  • NPI 1447250113
  NPD (past)

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1083614747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3575 BRIDGE RD STE 19",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234351844",
            "telephone_number": "757-638-2015",
            "fax_number": "757-638-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3575 BRIDGE RD STE 19",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234351844",
            "telephone_number": "757-638-2015",
            "fax_number": "757-638-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEELE",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-26",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001251",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083614747",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kimmistiszyn@enochseyecare.eyefinity-direct.com",
            "affiliation": "N",
            "address_1": "3575 Bridge Rd Ste 19",
            "city": "Suffolk",
            "state": "VA",
            "country_code": "US",
            "postal_code": "234351844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "MISTISZYN",
            "middle_name": "A",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Stanley Personal Touch in-Home Care Services, Inc
• Stanleys Personal Touch Home Health Care LLC
• Stanleys Personal Touch Homehealth Care LLC
• James J Stark, M.D.
• Raphawn Staton
• Step by Step Consulting
• Jason Noah Stern, D.P.M.
• Steve a Gwaltney, DDS PC
• Mary S Stevens, LCSW
• Willie Stevens Jr.

• Optometrist in Suffolk, VA
• Providers in Suffolk, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; 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.