Active NPI
Kiley Ann Berry, OD
- Optometrist
- Durango, CO
National Provider Identifier
1669638011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2653
- Practice address
- 1165 S. Camino del Rio
Suite 100
Durango, CO 81301 - Phone
- (970) 247-8762
- Fax
- (970) 385-4496
- NPI assigned
- Aug 5, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2653 | CO | Primary |
Addresses
Primary practice location
1165 S. Camino del Rio
Suite 100
Durango, CO 81301
Mailing address
1266 Escalante Dr
Ste 301
Durango, CO 81303-8902
Phone (970) 828-2200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1266 Escalante Dr
Suite 301
Durango, CO 81303-8902
Phone (970) 828-2200
2300 E 30TH St
Suite N 105
Farmington, NM 87401-8990
Phone (970) 828-2200
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.57 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 71.91
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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": "1217894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628640000000",
"number": "1669638011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1266 ESCALANTE DR",
"address_2": "STE 301",
"city": "DURANGO",
"state": "CO",
"postal_code": "813038902",
"telephone_number": "970-828-2200",
"fax_number": "907-828-2201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1165 S. CAMINO DEL RIO",
"address_2": "SUITE 100",
"city": "DURANGO",
"state": "CO",
"postal_code": "81301",
"telephone_number": "970-247-8762",
"fax_number": "970-385-4496"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRY",
"first_name": "KILEY",
"middle_name": "ANN",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-05",
"last_updated": "2021-08-11",
"certification_date": "2021-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CO",
"license": "2653",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durango, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; 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.