Individual provider Active NPI

Kaitlyn McBride Quigley, OD

  • Optometrist
  • Milford, OH
National Provider Identifier
1699333625
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.006795 Issued in OH
Practice address
1107 Allen Dr
Milford, OH 45150-8033
Phone
(513) 965-2020
NPI assigned
Jun 4, 2019
Last updated
Aug 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.006795 OH Primary
Optometrist 152W00000X 6795 OH

Addresses

Primary practice location

1107 Allen Dr
Milford, OH 45150-8033

Mailing address

6116 Roe St
Cincinnati, OH 45227-2402
Phone (567) 644-8948

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20190730002857 OH Practitioner - Optometry 3577899426 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Milford Eye Care, Inc.Group PAC ID 0941424295, 4 clinicians

Practice addresses (Care Compare)

1107 Allen Dr
Suite C
Milford, OH 45150-8033
Phone (513) 965-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6795OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Milford Eye Care, Inc. Optometrist CurrentSince May 27, 2019 Accepting new patients
Clarkson Optometry Midwest Inc. Optometrist CurrentSince Jul 31, 2019 Accepting new patients
Cincinnati Eye Care Team LLC Optometrist PastSince Aug 1, 2019 Accepting new patients

Locations

1107 Allen Dr
Milford, OH 45150
Phone (513) 831-1941

1107 Allen Dr
Ste C
Milford, OH 45150
Phone (513) 965-2020

Interoperability endpoints

  • Direct secure messaging: kaitlynmcbride@direct.eyecare-partners.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1699333625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6116 ROE ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452272402",
            "telephone_number": "567-644-8948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 ALLEN DR",
            "city": "MILFORD",
            "state": "OH",
            "postal_code": "451508033",
            "telephone_number": "513-965-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUIGLEY",
        "first_name": "KAITLYN",
        "middle_name": "MCBRIDE",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-04",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.006795",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6795",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, OH

Sources for this page

Verify at the official NPI Registry.