Kathleen Cwikla, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC5785 Issued in FL

Practice address

1523 Sadler Rd
Fernandina Beach, FL 32034-4467

Phone

(904) 261-5955

NPI assigned

May 26, 2020

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 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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Russell Stackhouse MD PAGroup PAC ID 9133473325, 13 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.84 of 100Reported as group

Quality

85.67

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Russell Stackhouse MD PA

  • Ophthalmology Physician
  • Fernandina, FL
  • NPI 1538655014
  Medicare reassignment Care Compare group NPD
• Vision Today PLLC

  • Optometrist
  • Jacksonville, FL
  • NPI 1538650155
  NPD

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

{
    "created_epoch": "1590451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1669095675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2416 LYNNDALE RD STE 201",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320345230",
            "telephone_number": "042-615-7419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1523 SADLER RD",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320344467",
            "telephone_number": "904-261-5955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 S 14th St",
            "address_purpose": "LOCATION",
            "city": "Fernandina Beach",
            "state": "FL",
            "postal_code": "320343212",
            "country_code": "US",
            "telephone_number": "904-261-5741",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "463867 State Road 200 Ste 4",
            "address_purpose": "LOCATION",
            "city": "Yulee",
            "state": "FL",
            "postal_code": "320973605",
            "country_code": "US",
            "telephone_number": "907-277-2779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CWIKLA",
        "first_name": "KATHLEEN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-26",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Susong Crowder, MS, OTR
• Mia Angelique Cruz, DPT
• Julie Cuason, LCSW
• David Joel Cummings, PT, DPT
• Sally Ann Cummings
• David Daugherty, RMFTI
• Wendy A De Santo, PT
• Shanin Leah Degraw, PTA
• Summer Suzanne Delille, R.D.H.
• Cletus Leon Deller, LMHC INTERN

• Optometrist in Fernandina Beach, FL
• Providers in Fernandina Beach, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.