Individual provider Active NPI

Rebecca M Kiraly-Qualls, OD

  • Optometrist
  • Midlothian, VA
National Provider Identifier
1710087937
Registry record updated Jun 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618000109 Issued in VA
Practice address
13841 Hull Street Road
Midlothian, VA 23112-2506
Phone
(804) 739-7000
Fax
(804) 739-7589
NPI assigned
Sep 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618000109 VA Primary

Addresses

Primary practice location

13841 Hull Street Road
Midlothian, VA 23112-2506

Mailing address

13841 Hull Street Road
Midlothian, VA 23112-2506
Phone (804) 739-7000

Other identifiers 3

IdentifierTypeStateIssuer
040367OtherVAANTHEM
410028623OtherRR MEDICARE
2200090OtherUHC

Other names 1

  • Dr. Rebecca M Kiraly Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20061120000180 VA Practitioner - Optometry 7214945096 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Swift Creek Eye Center PCGroup PAC ID 4385652296, 2 clinicians

Practice addresses (Care Compare)

13841 Hull St Rd
Suite 2
Midlothian, VA 23112-2056
Phone (804) 739-7000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery20

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Swift Creek Eye Center, PC Optometrist CurrentSince May 1, 1992 Accepting new patients

Locations

13841 Hull Street Rd
Midlothian, VA 23112
Phone (804) 739-7000

13841 Hull Street Rd
Ste 2
Midlothian, VA 23112
Phone (804) 739-7000

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435536000000",
    "number": "1710087937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13841 HULL STREET ROAD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231122506",
            "telephone_number": "804-739-7000",
            "fax_number": "804-739-7589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13841 HULL STREET ROAD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231122506",
            "telephone_number": "804-739-7000",
            "fax_number": "804-739-7589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRALY-QUALLS",
        "first_name": "REBECCA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2015-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "040367",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "410028623",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "2200090",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "KIRALY",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Midlothian, VA

Sources for this page

Verify at the official NPI Registry.