Individual provider Active NPI

Kimberly Duong

  • Optometrist
  • Tucson, AZ
National Provider Identifier
1235888165
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT-002631 Issued in AZ
Practice address
2177 W Orange Grove Rd
Tucson, AZ 85741-3118
Phone
(520) 327-3487
NPI assigned
Mar 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT-002631 AZ Primary

Addresses

Primary practice location

2177 W Orange Grove Rd
Tucson, AZ 85741-3118

Mailing address

2177 W Orange Grove Rd
Tucson, AZ 85741-3118

Other practice location 1

395 N Silverbell Rd Ste 355
Tucson, AZ 85745-2981
Phone (520) 327-3487

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20230724003433 AZ Practitioner - Optometry 0547620403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sean J McCafferty MD PCGroup PAC ID 9931187325, 17 clinicians

Practice addresses (Care Compare)

2177 W Orange Grove Rd
Tucson, AZ 85741-3118
Phone (520) 327-3487

Merit-based Incentive Payment System (MIPS)

Final score
90.65 of 100Reported as group
Promoting interoperability
89
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sean J. McCafferty, MD, PC CurrentSince Aug 1, 2023 Accepting new patients
Christopher M Seniw MD PC CurrentSince Jul 16, 2023 Accepting new patients
Cornea Associates, PLLC PastSince Jun 1, 2004 Accepting new patients

Locations

2177 W Orange Grove Rd
Tucson, AZ 85741
Phone (520) 797-2020

395 N Silverbell Rd
Tucson, AZ 85745
Phone (520) 622-5912

395 N Silverbell Rd
Ste 355
Tucson, AZ 85745
Phone (520) 622-5912

6422 E Speedway Blvd
Ste 100
Tucson, AZ 85710
Phone (520) 325-9400

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1647648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1235888165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2177 W ORANGE GROVE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857413118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2177 W ORANGE GROVE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857413118",
            "telephone_number": "520-327-3487"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "395 N Silverbell Rd Ste 355",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857452981",
            "country_code": "US",
            "telephone_number": "520-327-3487",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUONG",
        "first_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-19",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-002631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.