Active NPI
Kyle R McCarthy, OD
- Optometrist
- Camarillo, CA
National Provider Identifier
1649756016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT34000-TLG
- Practice address
- 99 E Daily Dr
Camarillo, CA 93010-5823 - Phone
- (805) 482-8849
- Fax
- (805) 388-8516
- NPI assigned
- Jul 18, 2018
- Last updated
- Aug 5, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Optometrist | 152W00000X | TLG34000 | CA | |
| Optometrist | 152W00000X | OPT34000-TLG | CA | Primary |
Addresses
Primary practice location
99 E Daily Dr
Camarillo, CA 93010-5823
Mailing address
82 Calle Escalon
Camarillo, CA 93010-1709
Phone (805) 469-5210
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of California - School of Optometry, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
99 E Daily Dr
Camarillo, CA 93010-5823
Phone (805) 482-8849
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 12 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT34000-TLG | CA | MD | Optometrist |
| TLG34000 | CA | MD | Optometrist |
| 34000 | CA | MD | Registered Respiratory Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McCarthy Optometric Group a Professional Corporation | Optometrist | Current | Accepting new patients |
| M. Trinh Optometry Inc | Optometrist | Current | Accepting new patients |
| Ronald L. Goldstein, O.D. | Optometrist | Past | Accepting new patients |
Locations
99 E Daily Dr
Camarillo, CA 93010
Phone (805) 482-8849
277 Hampshire Rd
Westlake Village, CA 91361
Phone (805) 495-4625
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.
-
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- NPI 1013632009
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- Thousand Oaks, CA
- NPI 1255525192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659657600000",
"number": "1649756016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "82 CALLE ESCALON",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930101709",
"telephone_number": "805-469-5210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 E DAILY DR",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930105823",
"telephone_number": "805-482-8849",
"fax_number": "805-388-8516"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCARTHY",
"first_name": "KYLE",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-07-18",
"last_updated": "2022-08-05",
"certification_date": "2022-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "TLG34000",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "OPT34000-TLG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Camarillo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; 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.