Individual provider Active NPI

Kacey Jane Gilford, OD

  • Optometrist
  • Phoenix, AZ
National Provider Identifier
1245510379
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT-002252 Issued in AZ
Practice address
4800 N 22ND St
Phoenix, AZ 85016-4701
Phone
(602) 955-1000
Fax
(602) 508-4830
NPI assigned
Aug 21, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 14299 CA
Optometrist 152W00000X OPT-002252 AZ Primary

Addresses

Primary practice location

4800 N 22ND St
Phoenix, AZ 85016-4701

Mailing address

4800 N 22ND St
Phoenix, AZ 85016-4701
Phone (602) 955-1000

Other identifiers 1

IdentifierTypeStateIssuer
450426MedicaidAZ

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
I20181210001914 AZ Practitioner - Optometry 9234383860 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4800 N 22ND St
Suite 120
Phoenix, AZ 85016-4962
Phone (602) 955-1000

Merit-based Incentive Payment System (MIPS)

Final score
83.86 of 100Reported as group
Quality
81.82
Promoting interoperability
100
Improvement activities
40
Cost
64.4

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
OPT-002252AZMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Barnet Dulaney Perkins Eye Center, PC CurrentSince Jul 1, 2019 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC CurrentSince Jul 1, 2019 Accepting new patients
Southwestern Eye Center LTD CurrentSince Oct 1, 2019 Accepting new patients
Southwestern Eye Center, LTD Optometrist CurrentSince Oct 1, 2019 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC Current Accepting new patients

Locations (25 of 30)

3003 Highway 95
Ste 63
Bullhead City, AZ 86442
Phone (928) 763-7555

560 N Camino Mercado
Ste 1
Casa Grande, AZ 85122
Phone (520) 426-9224

855 S Dobson Rd
Ste 1
Chandler, AZ 85224

270 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-4202

5285 W Bell Rd
Ste 110
Glendale, AZ 85308
Phone (602) 903-0922

1626 N Litchfield Rd
Ste 110
Goodyear, AZ 85395
Phone (817) 995-2500

1151 S La Canada Dr
Ste 200
Green Valley, AZ 85614
Phone (520) 625-8562

5250 E Southern Ave
Mesa, AZ 85206
Phone (480) 420-1005

4760 E Falcon Dr
Ste 101
Mesa, AZ 85215
Phone (480) 985-7400

1055 S Stapley Dr
Mesa, AZ 85204
Phone (480) 833-9100

1121 S Gilbert Rd
Ste 103
Mesa, AZ 85204
Phone (480) 459-8500

4760 E Falcon Dr
Mesa, AZ 85215
Phone (480) 985-7400

7435 E Main St
Ste 101
Mesa, AZ 85207
Phone (480) 634-3777

8435 E Baseline Rd
Ste 101
Mesa, AZ 85209
Phone (480) 373-0860

4800 N 22nd St
Ste 120
Phoenix, AZ 85016

4800 N 22nd St
Phoenix, AZ 85016
Phone (602) 508-4843

5251 W Campbell Ave
Ste 102
Phoenix, AZ 85031
Phone (623) 846-7603

825 S 20th Ave
Safford, AZ 85546
Phone (928) 428-6930

3301 N Miller Rd
Scottsdale, AZ 85251
Phone (480) 560-8958

8763 E Bell Rd
Ste 106
Scottsdale, AZ 85260

4921 E Bell Rd
Scottsdale, AZ 85254

4921 E Bell Rd
Ste 102
Scottsdale, AZ 85254
Phone (602) 548-6500

2370 W State Route 89A
Ste 16A17A18
Sedona, AZ 86336
Phone (928) 282-1231

14820 N Del Webb Blvd
Sun City, AZ 85351

10615 W Thunderbird Blvd
Ste 100
Sun City, AZ 85351
Phone (623) 933-3024

Interoperability endpoints

  • Direct secure messaging: kacey.gilfordod.p20@direct.avp.nextgenshare.com
  • Direct secure messaging: kacey.gilford@direct.avp.nextgenshare.com

Organizations & group practices 5

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": "1313884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582761600000",
    "number": "1245510379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 N 22ND ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164701",
            "telephone_number": "602-955-1000",
            "fax_number": "602-508-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 N 22ND ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164701",
            "telephone_number": "602-955-1000",
            "fax_number": "602-508-4830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILFORD",
        "first_name": "KACEY",
        "middle_name": "JANE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-21",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14299",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-002252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "450426",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.