Individual provider Active NPI

Kimberly Anne Caracci

  • Optometrist
  • Palm Beach Gardens, FL
National Provider Identifier
1649917899
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC6155 Issued in FL
Practice address
9810 Alternate A1A Ste 107
Palm Beach Gardens, FL 33410-4932
Phone
(561) 694-2239
NPI assigned
May 18, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC6155 FL Primary

Addresses

Primary practice location

9810 Alternate A1A Ste 107
Palm Beach Gardens, FL 33410-4932

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20220810000104 FL Practitioner - Optometry 3375926264 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robert H Fier MdpaGroup PAC ID 6002882172, 5 clinicians
Martin Memorial Medical Center IncGroup PAC ID 2961300611, 514 clinicians

Practice addresses (Care Compare)

1441 SE Ocean Blvd
Stuart, FL 34996-2613
Phone (772) 286-0007

200 SE Hospital Ave
Stuart, FL 34994-2346
Phone (772) 223-5665

Hospital & facility affiliations

  • Cleveland Clinic Martin North Hospital Hospital, Stuart, FL, CCN 100044

Merit-based Incentive Payment System (MIPS)

Final score
92.26 of 100Reported as apm
Quality
80.2
Promoting interoperability
99.24
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC6155FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Howell Cohen O D P a Optometrist CurrentSince Sep 1, 2022 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist Current Accepting new patients
Robert H Fier Mdpa Optometrist CurrentSince Jan 1, 2026 Accepting new patients
Stephanie Cortes OD PA Optometrist CurrentSince Sep 1, 2022 Accepting new patients
Martin Memorial Medical Center Inc CurrentSince Jan 1, 2025 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist CurrentSince Jan 1, 2023 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist CurrentSince Jan 1, 2023 Accepting new patients
Robert H Fier Mdpa Optometrist Past Accepting new patients

Locations

3011 W Yamato Rd
Ste A19
Boca Raton, FL 33434
Phone (561) 995-9600

706 W Boynton Beach Blvd
Ste 101
Boynton Beach, FL 33426
Phone (561) 732-5665

9810 Alternate A1A
Ste 107
Palm Beach Gardens, FL 33410
Phone (561) 694-2239

200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618

1441 SE Ocean Blvd
Stuart, FL 34996
Phone (561) 286-0007

1480 Timberlane Rd
Tallahassee, FL 32312
Phone (850) 878-1601

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Networks

  • Freedom Health HMO Network

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1649917899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9810 ALTERNATE A1A STE 107",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104932",
            "telephone_number": "561-694-2239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARACCI",
        "first_name": "KIMBERLY",
        "middle_name": "ANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-18",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC6155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.