Individual provider Active NPI

Kara Allison Collier, O.D.

  • Pediatric Optometrist
  • Davie, FL
National Provider Identifier
1295143477
Registry record updated Aug 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric OptometristTaxonomy code 152WP0200X
License
OPC4943 Issued in FL
Practice address
3200 S University Dr
Terry Building 1402
Davie, FL 33328
Phone
(954) 262-1402
NPI assigned
Jul 31, 2014
Last updated
Aug 7, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Optometrist 152WP0200X OPC4943 FL Primary

Addresses

Primary practice location

3200 S University Dr
Terry Building 1402
Davie, FL 33328

Mailing address

5489 Lena Rd
Bradenton, FL 34211-9449
Phone (941) 242-2020

Other names 1

  • Kara Allison Diebel Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20141021001879 FL Practitioner - Optometry 4082835731 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Collier Vision Group, PAGroup PAC ID 9234402165, 2 clinicians

Practice addresses (Care Compare)

6600 University Pkwy
Suite 306
Sarasota, FL 34240-9037
Phone (941) 242-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC4943FLMDPediatric Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Collier Vision Group, PA Pediatrics CurrentSince Aug 14, 2015 Accepting new patients
Nova Southeastern University, Inc Current Accepting new patients
Nova Southeastern University, Inc. CurrentSince Aug 10, 2014 Accepting new patients
Nova Southeastern University Inc. CurrentSince Aug 10, 2014 Accepting new patients

Locations

3200 S University Dr
Bldg 1402
Davie, FL 33328
Phone (954) 262-1402

650 N Andrews Ave
Ft Lauderdale, FL 33311
Phone (954) 463-4213

5489 Lena Rd
Lakewood Rch, FL 34211
Phone (941) 242-2020

1750 NE 167th St
North Miami Beach, FL 33162
Phone (305) 949-4000

6600 University Pkwy
Ste 306
Sarasota, FL 34240
Phone (941) 242-2020

819 NE 26th St
Wilton Manors, FL 33305
Phone (954) 390-7654

Organizations & group practices 4

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": "1406764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533600000000",
    "number": "1295143477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5489 LENA RD",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342119449",
            "telephone_number": "941-242-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 S UNIVERSITY DR",
            "address_2": "TERRY BUILDING 1402",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "33328",
            "telephone_number": "954-262-1402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLIER",
        "first_name": "KARA",
        "middle_name": "ALLISON",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-31",
        "last_updated": "2018-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "FL",
            "license": "OPC4943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARA",
            "last_name": "DIEBEL",
            "middle_name": "ALLISON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Davie, FL

Sources for this page

Verify at the official NPI Registry.