Kimberly Rose Fazio, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG003774 Issued in PA

Practice address

1816 Locust St
Pittsburgh, PA 15219-5920

Phone

(412) 368-4400

Fax

(412) 368-4091

NPI assigned

Jul 12, 2021

Last updated

Jun 6, 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Illinois College of Optometry at Chicago, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Blind and Vision Rehabilitation Services of PittsburghGroup PAC ID 3577501915, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/bvrspittsburgh/r4/

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.

• Blind & Vision Rehabilitation Services

  dba VisAbility

  • Voluntary or Charitable Agency
  • Pittsburgh, PA
  • NPI 1992896682
  Medicare reassignment Care Compare group NPD
• Sewickley Eye Center, LTD

  • Ophthalmology Physician
  • Sewickley, PA
  • NPI 1205986775
  Medicare reassignment NPD

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

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1619549565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1816 LOCUST ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152195920",
            "telephone_number": "412-368-4400",
            "fax_number": "123-684-0914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1816 LOCUST ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152195920",
            "telephone_number": "412-368-4400",
            "fax_number": "412-368-4091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAZIO",
        "first_name": "KIMBERLY",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-12",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fayer Family Homecare LLC
• Bobbiejo Faylor, COTA/L
• Pouneh Khadejeh Fazeli, MD
• Alyssa Fazi, M.D.
• Julian Umberto Fazi, M.D
• Nicole Fazio, CRNP
• Alex Fazioli, DO
• Nicholas M Fazzini, DDS
• Mary P Feagin, MT-BC
• Mark Fechter

• Optometrist in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.