Individual provider Active NPI

Kelly Christine Barnes, OD

  • Optometrist
  • Cary, NC
National Provider Identifier
1669509899
Registry record updated Apr 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
NC1893 Issued in NC
Practice address
10110 Green Level Church Rd
Suite 102
Cary, NC 27519-8143
Phone
(919) 465-7400
Fax
(919) 465-7455
NPI assigned
Feb 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NC1893 NC Primary

Addresses

Primary practice location

10110 Green Level Church Rd
Suite 102
Cary, NC 27519-8143

Mailing address

10110 Green Level Church Rd
Suite 102
Cary, NC 27519-8143
Phone (919) 465-7400

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
I20071204000901 NC Practitioner - Optometry 3476642067 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cary Family Eye Care, O.D., P.a.Group PAC ID 5395818686, 4 clinicians

Practice addresses (Care Compare)

7560 Carpenter Fire Station Rd
Suite 205
Cary, NC 27519-9637
Phone (919) 465-7400

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1893NCMDMarriage & Family Therapist
NC1893NCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cary Family Eye Care, O.D., P.a. Optometrist CurrentSince Apr 2, 2008 Accepting new patients

Locations

7560 Carpenter Fire Station Rd
Ste 205
Cary, NC 27519
Phone (919) 465-7400

7560 Carpenter Fire Station Rd
Ste 203
Cary, NC 27519

10110 Green Level Church Rd
Ste 102
Cary, NC 27519
Phone (919) 465-7400

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334793600000",
    "number": "1669509899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10110 GREEN LEVEL CHURCH RD",
            "address_2": "SUITE 102",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275198143",
            "telephone_number": "919-465-7400",
            "fax_number": "919-465-7455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10110 GREEN LEVEL CHURCH RD",
            "address_2": "SUITE 102",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275198143",
            "telephone_number": "919-465-7400",
            "fax_number": "919-465-7455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES",
        "first_name": "KELLY",
        "middle_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2012-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "NC1893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.