Individual provider Active NPI

Kayla Marie Dingman, OD

  • Optometrist
  • Oswego, NY
National Provider Identifier
1821834169
Registry record updated Jul 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
009979 Issued in NY
Practice address
357 W 1St St
Oswego, NY 13126-3886
Phone
(315) 216-4473
NPI assigned
Jul 6, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 009979 NY Primary

Addresses

Primary practice location

357 W 1St St
Oswego, NY 13126-3886

Mailing address

357 W 1St St
Oswego, NY 13126-3886
Phone (315) 216-4473

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20250321002440 NY Practitioner - Optometry 5092237735 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Leslie D. Woodcock, Jr., M.D., PLLCGroup PAC ID 6901994110, 3 clinicians
Bridget a Frio, OD, PCGroup PAC ID 7719226406, 3 clinicians

Practice addresses (Care Compare)

19316 US Route 11
Suite a
Watertown, NY 13601-6736
Phone (315) 782-8330

303 Genesee St
Chittenango, NY 13037-1706
Phone (315) 687-9252

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009979NYMDClinical Child & Adolescent Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen M Baker O D, PLLC Optometrist CurrentSince Jan 16, 2025 Accepting new patients
Bridget a Frio OD PC Optometrist CurrentSince Jul 28, 2025 Accepting new patients
Leslie D. Woodcock, Jr., M.D., PLLC CurrentSince Jul 29, 2025 Accepting new patients
Central New York Eye Center Past Accepting new patients

Locations

303 Genesee St
Chittenango, NY 13037
Phone (315) 687-9252

5100 W Taft Rd
Ste 3L
Liverpool, NY 13088
Phone (315) 452-2211

19316 US Route 11
Ste A
Watertown, NY 13601
Phone (315) 422-8331

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1720224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720224000000",
    "number": "1821834169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 W 1ST ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131263886",
            "telephone_number": "315-216-4473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 W 1ST ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131263886",
            "telephone_number": "315-216-4473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINGMAN",
        "first_name": "KAYLA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-06",
        "last_updated": "2024-07-06",
        "certification_date": "2024-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oswego, NY

Sources for this page

Verify at the official NPI Registry.