Kimberly Lewis Oncavage, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2135 Issued in NC

Practice address

2805 Village Way
Trent Woods, NC 28562-7351

Phone

(252) 633-0016

Fax

(252) 636-3895

NPI assigned

Feb 16, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

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

Southern College of Optometry, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

C and S Optometric Services PLLC 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

77.83 of 100Reported as group

Quality

55.66

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kimberly.oncavage@direct.revolutionehr.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.

• C & S Optometric Services PLLC

  • Optometrist
  • Alliance, NC
  • NPI 1164563938

  NC, Optometrist

  Medicare reassignment Care Compare group NPD
• C & S Optometric Services, PLLC

  • Optometrist
  • New Bern, NC
  • NPI 1336280544

  NC, Optometrist

  Medicare reassignment Care Compare group NPD
• C & S Optometric Services PLLC

  • Optometrist
  • New Bern, NC
  • NPI 1619661600
  NPD
• C & S Optometric Services PLLC

  • Eyewear Supplier
  • Alliance, NC
  • NPI 1184766644
  NPD (past)
• Columbus Eye Associates OD PA

  • Optometrist
  • Whiteville, NC
  • NPI 1669439139
  NPD (past)

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

{
    "created_epoch": "1234742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438646400000",
    "number": "1336388396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 VILLAGE WAY",
            "city": "TRENT WOODS",
            "state": "NC",
            "postal_code": "285627351",
            "telephone_number": "252-633-0016",
            "fax_number": "252-636-3895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 VILLAGE WAY",
            "city": "TRENT WOODS",
            "state": "NC",
            "postal_code": "285627351",
            "telephone_number": "252-633-0016",
            "fax_number": "252-636-3895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONCAVAGE",
        "first_name": "KIMBERLY",
        "middle_name": "LEWIS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-16",
        "last_updated": "2015-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5913676",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "155FN",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rose V McAden, FNP
• Patrick M McDonough, DDS
• John Joseph Mezzullo, DO
• Jasmin Denise Miles, LCMHCA
• Jasmine B Murphy, BSN, RN, IBCLC
• Patrick M. McDonough, D.D.S., M.S., P.a.
• Maria Scalf Priest, MSW, LCSW, LCAS-A
• Mark William Russell, DMD
• Stephanie Scott, OTR-L
• William Andrew Seman, PH.D.

• All providers in Trent Woods, NC
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; 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.