Saidivya Komma, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2643 Issued in NC

Practice address

1323 New Garden Rd
Greensboro, NC 27410-2722

Phone

(336) 292-4516

NPI assigned

Mar 30, 2020

Last updated

Aug 11, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Star Optometry NC PLLCGroup PAC ID 0749638666, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Star Optometry NC PLLC

  dba InFocus Eyecare

  • Optometrist
  • Greensboro, NC
  • NPI 1346947579
  Medicare reassignment Care Compare group NPD
• Camel City Optometric, P.a.

  dba Eyes on Trade

  • Optometrist
  • Winston Salem, NC
  • NPI 1962928556
  Medicare reassignment NPD
• Eyecarecenter OD PA

  • Optometrist
  • Cary, NC
  • NPI 1417973546
  Medicare reassignment NPD
• Myeyedr Optometry of North Carolina, PLLC

  dba MyEyeDr

  • Optometrist
  • Charlotte, NC
  • NPI 1023183563
  Medicare reassignment NPD
• Thurmond Eye Associates OD, PA

  • Primary Care Clinic/Center
  • Burlington, NC
  • NPI 1962521690
  Medicare reassignment NPD
• Eye Care Associates of Co LLC

  dba Optical Matters

  • Optometrist
  • Centennial, CO
  • NPI 1124674049

  NC

  Medicare reassignment NPD
• Eyecarecenter OD PA

  • Optometrist
  • Laurinburg, NC
  • NPI 1740727189
  NPD
• Eyecarecenter, O.D., P.a.

  dba EyeCare Center

  • Optometrist
  • Fayetteville, NC
  • NPI 1336876788
  NPD
• Myeyedr Optometry of North Carolina PLLC

  dba MyEyeDr

  • Optometrist
  • Greensboro, NC
  • NPI 1962460170
  NPD
• Myeyedr Optometry of North Carolina, PLLC

  • Optometrist
  • Monroe, NC
  • NPI 1407737182
  NPD
• Salisbury Vamc

  • Department of Veterans Affairs (VA) Pharmacy
  • Kernersville, NC
  • NPI 1982652723
  NPD
• Eye Care Associates of Co LLC

  dba Creston Vision Clinic

  • Optometrist
  • Creston, IA
  • NPI 1548023518
  NPD

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

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1447888979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 REGENTS PARK LN",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274551177",
            "telephone_number": "336-809-3425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323 NEW GARDEN RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274102722",
            "telephone_number": "336-292-4516"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 Brenner Ave",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "NC",
            "postal_code": "281442515",
            "country_code": "US",
            "telephone_number": "704-638-9000 x13783",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1695 Kernersville Medical Pkwy",
            "address_purpose": "LOCATION",
            "city": "Kernersville",
            "state": "NC",
            "postal_code": "272847159",
            "country_code": "US",
            "telephone_number": "336-515-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOMMA",
        "first_name": "SAIDIVYA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-30",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Kokx, PT
• Cyrus Kolar, MSW, LCSW, LCAS
• Sarah Kolber
• Zumo M Kollie, LCAS
• Franck Romual Kombou Sile
• Srinavya Komma, OD
• Kommineni DDS and Associates PLLC
• Barbara Goldman Komstead, PA-C
• Sation Konchellah
• Taylor Paige Kontoulas

• Optometrist in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2023; 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.