Kayla Sharee Gaddis, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

7132-T Issued in TX

Practice address

6851 Virginia Pkwy Ste 101
McKinney, TX 75071-5622

Phone

(214) 865-6266

Fax

(214) 865-6305

NPI assigned

Aug 1, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

University of Houston - College of Optometry, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Blink Eyecare LLCGroup PAC ID 2062648231, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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.

• Blink Eyecare LLC

  • Optometrist
  • McKinney, TX
  • NPI 1588006027
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374278400000",
    "number": "1679764914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6851 VIRGINIA PKWY STE 101",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750715622",
            "telephone_number": "214-865-6266",
            "fax_number": "214-865-6305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6851 VIRGINIA PKWY STE 101",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750715622",
            "telephone_number": "214-865-6266",
            "fax_number": "214-865-6305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADDIS",
        "first_name": "KAYLA",
        "middle_name": "SHAREE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-01",
        "last_updated": "2013-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1541",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7132-T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stewart Edwin Fuller
• Sue-Allene Furtado-Gomes
• Fyzio Group LLC (FYZICAL Therapy & Balance Centers)
• G-First LLC
• Kathryn Marie Gabel, DDS
• Todd D. Gaddis, M. D.
• Amanda Gibson Gahan, PA-C
• Tiffany Gainer, LCSW
• Shrawan Gajanan Gaitonde, MD
• Amber Galipp, D.C.

• Optometrist in McKinney, TX
• Providers in McKinney, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2013; 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.