Individual provider Active NPI

Kimberly Z Hoyle, OD

  • Optometrist
  • Denver, NC
National Provider Identifier
1629165196
Registry record updated Jul 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2046 Issued in NC
Practice address
7547 Waterside Loop Rd Ste a
Denver, NC 28037-7678
Phone
(704) 822-9920
Fax
(704) 822-1764
NPI assigned
Oct 6, 2006
Last updated
Jul 6, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2046 NC Primary

Addresses

Primary practice location

7547 Waterside Loop Rd Ste a
Denver, NC 28037-7678

Mailing address

7547 Waterside Loop Rd Ste a
Denver, NC 28037-7678
Phone (704) 822-9920

Other identifiers 2

IdentifierTypeStateIssuer
5906690MedicaidNC
093VTOtherNCBCBSNC PIN

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20070306000515 NC Practitioner - Optometry 8426151705 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Family Eye Care - DRS of Optometry PLLCGroup PAC ID 6204733033, 7 clinicians

Practice addresses (Care Compare)

7547 Waterside Loop Rd
Denver, NC 28037-7677
Phone (704) 822-9920

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Family Eye Care - DRS of Optometry PLLC Optometrist CurrentSince Jun 1, 2009 Accepting new patients
Eyecarecenter OD PA Optometrist Past Accepting new patients
Downtown Raleigh Eyecarecenter OD Optometrist PastSince May 1, 2007 Accepting new patients

Locations

7547 Waterside Loop Rd
Denver, NC 28037
Phone (704) 822-9920

7547 Waterside Loop Rd
Ste A
Denver, NC 28037
Phone (704) 822-9920

Interoperability endpoints

  • Direct secure messaging: kimberly.hoyle@uprisedirect.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246838400000",
    "number": "1629165196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7547 WATERSIDE LOOP RD STE A",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280377678",
            "telephone_number": "704-822-9920",
            "fax_number": "704-822-1764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7547 WATERSIDE LOOP RD STE A",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280377678",
            "telephone_number": "704-822-9920",
            "fax_number": "704-822-1764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOYLE",
        "first_name": "KIMBERLY",
        "middle_name": "Z",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2009-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5906690",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC PIN",
            "identifier": "093VT",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, NC

Sources for this page

Verify at the official NPI Registry.