Kimberly Cao, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2478 Issued in SC

Practice address

4101 Campus Ridge Rd
St 200
Matthews, NC 28105

Phone

(704) 234-1930

NPI assigned

Apr 15, 2024

Last updated

Jul 18, 2024By 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 SC, 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

Specialty

Optometry

Education

Southern California College of Optometry, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Metrolina Eye Associates PLLCGroup PAC ID 7315908498, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kcao@metrolina.intellechartdirect.net

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.

• Metrolina Eye Associates, PLLC

  • Ophthalmology Physician
  • Monroe, NC
  • NPI 1700839305

  SC

  Medicare reassignment Care Compare group NPD
• Metrolina Eye Associates, PLLC

  • Durable Medical Equipment & Medical Supplies
  • Indian Land, SC
  • NPI 1063896777
  NPD

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1629822929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17480 MYSTIC VALLEY CT",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481686849",
            "telephone_number": "201-783-9027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 CAMPUS RIDGE RD",
            "address_2": "ST 200",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "28105",
            "telephone_number": "704-234-1930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAO",
        "first_name": "KIMBERLY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "2478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Calm Seas Family Services, PLLC
• Johnny E. Camargo, M.D.
• Brittny Cameron, LMFT-A
• Camilla L Miskovich DMD PLLC (Big Little Smiles)
• Geralyn Mary Campi, M.D.
• Riley Dwayne Capell
• Natalia Cardona, MD, MPH
• Care Now Medical Clinic
• Careoptima, LLC (CareOptima Home Care Services)
• Carillon Assisted Living of Mint Hill, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; 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.