Individual provider Active NPI

Kathleen C Miller, OD

  • Optometrist
  • Cary, NC
National Provider Identifier
1396477402
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT003425 Issued in GA
Practice address
7560 Carpenter Fire Station Rd Ste 205
Cary, NC 27519-9637
Phone
(919) 465-7400
Fax
(919) 465-7455
NPI assigned
Jun 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2865 NC
Optometrist 152W00000X OPT003425 GA Primary

Addresses

Primary practice location

7560 Carpenter Fire Station Rd Ste 205
Cary, NC 27519-9637

Mailing address

329 Buckland Mills CT
Cary, NC 27513-4284
Phone (214) 799-4724

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220713000550 GA Practitioner - Optometry 7618358342
I20260427000615 NC Practitioner - Optometry 7618358342 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cary Family Eye Care, O.D., P.a.Group PAC ID 5395818686, 4 clinicians

Practice addresses (Care Compare)

7560 Carpenter Fire Station Rd
Suite 205
Cary, NC 27519-9637
Phone (919) 465-7400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2865NCMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cary Family Eye Care, O.D., P.a. Optometrist CurrentSince Mar 16, 2026 Accepting new patients

Locations

7560 Carpenter Fire Station Rd
Ste 205
Cary, NC 27519
Phone (919) 465-7400

Organizations & group practices 1

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": "1656374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1396477402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 BUCKLAND MILLS CT",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275134284",
            "telephone_number": "214-799-4724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7560 CARPENTER FIRE STATION RD STE 205",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275199637",
            "telephone_number": "919-465-7400",
            "fax_number": "919-465-7455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KATHLEEN",
        "middle_name": "C",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-28",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2865",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.