Kayla Avirett Zachry, OD
Individual provider Active NPI Optometrist · Kerrville, TX
NPI 1992169247 · NPPES record last updated Jun 2, 2021
Key facts
- NPI
- 1992169247
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 9166TG (TX)
- Practice address
- 237 W Water St
Kerrville, TX 78028-4252 - Phone
- (830) 257-6336
- NPI assigned
- Apr 12, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Pacific University - College of Optometry, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pena Optical Solutions LLC
Practice addresses (Care Compare)
237 W Water St
Kerrville, TX 78028-4252
Phone (830) 257-6336
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 80 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170815001440 | TX | Practitioner - Optometry | 5799057568 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9166TG | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pena Optical Solutions LLC | Optometrist | Current |
Accepting new patients |
Locations
500 Junction Hwy
Kerrville, TX 78028
Phone (830) 257-6336
237 W Water St
Kerrville, TX 78028
Phone (830) 257-6336
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Optometrist | 152W00000X | 9166TG | TX | Yes |
Addresses
Primary practice location
237 W Water St
Kerrville, TX 78028-4252
Mailing address
237 W Water St
Kerrville, TX 78028-4252
Phone (830) 257-6336
Other practice location 1
2043 College Way
Forest Grove, OR 97116-1756
Phone (979) 864-5221
Other practice location 2
500 Junction Hwy
Kerrville, TX 78028-5065
Phone (830) 257-6336
Other names
- Dr. Kayla Avirett
Other providers in Kerrville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.