Kim E. Mauro, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618001401 Issued in VA

Practice address

11413 Midlothian Tpke
Suite 101
North Chesterfield, VA 23235-4717

Phone

(804) 302-4182

NPI assigned

Jan 29, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Ohio State University - College of Optometry, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Envision Family EyecareGroup PAC ID 6305852153, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Envision Family Eyecare

  • Optometrist
  • Glen Allen, VA
  • NPI 1891842902
  Medicare reassignment Care Compare group NPD
• Eyemart Express LLC

  • Eyewear Supplier
  • Richmand, VA
  • NPI 1255739967
  NPD (past)
• Virginia Eye Health Partners, LLC

  • Optometrist
  • North Chesterfield, VA
  • NPI 1588946206
  NPD (past)
• Virginia Eye Health Partners, LLC

  • Optometrist
  • Henrico, VA
  • NPI 1891079117
  NPD (past)

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317600000000",
    "number": "1528104353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 WESTHAMPTON STA",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232263330",
            "telephone_number": "804-287-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11413 MIDLOTHIAN TPKE",
            "address_2": "SUITE 101",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354717",
            "telephone_number": "804-302-4182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAURO",
        "first_name": "KIM",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2011-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Matthews, LCSW
• Stella Matthews
• Maunda LLC
• Kaylee Maunz, NP
• Colette Grace Maupin, COTA
• Rachel Mauro, LPC
• Cameron A Mauzy, PT, DPT
• Marc Mawyer, PA-C
• Maxgio Healthcare LLC
• Abigayle Carr Maxwell, MSW

• Optometrist in North Chesterfield, VA
• Providers in North Chesterfield, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; 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.