Kathleen Miraflores, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2030 Issued in GA

Practice address

451 Springs End LN NE
Marietta, GA 30068-3076

Phone

(678) 926-1545

NPI assigned

Oct 6, 2005

Last updated

Mar 18, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

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 Missouri St Louis - School of Optometry, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Adairsville Eye Associates LLCGroup PAC ID 6901297720, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Adairsville Eye Associates LLC

  • Optometrist
  • Adairsville, GA
  • NPI 1538823315
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773792000000",
    "number": "1932197712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 SPRINGS END LN NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300683076",
            "telephone_number": "678-926-1545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 SPRINGS END LN NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300683076",
            "telephone_number": "678-926-1545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRAFLORES",
        "first_name": "KATHLEEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-06",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "2030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "594337142D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bailey Mingledorff
• Jennifer Minnicks, LCSW
• Kathleen Jamila Minnifield
• Yolande M. Minor, ED.D.
• Mintysmile Dentistry
• Karla Vanessa Miralles, DNP, APRN
• Maria Miranda, RBT
• Absar Ahmad Mirza, MD
• Mohid Mirza
• Sarika Mishra, NP

• Optometrist in Marietta, GA
• Providers in Marietta, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; 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.