DR. WILLIAM H KIERNAN (OD) – Optometrist, NPI 1174548291

DR. WILLIAM H KIERNAN (OD) is a healthcare provider. based in Loma linda, California. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 7661T (CA). The NPI Number for DR. WILLIAM H KIERNAN (OD) is 1174548291

Main info

Male
45 Years Of Experience
Accepts Medicare Assignment
Name
DR. WILLIAM H KIERNAN (OD)
NPI
1174548291
Phone
(909) 558-2154
Address
11370 ANDERSON ST STE 1800
Enumeration Date
12 July 2006
Last Update Date
1 April 2025

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
-
Graduation Year
1981 (45 years ago)
PAC ID
0143214643
Group Practice PAC ID
1153227814
Professional Enrollment ID
I20040408000864
Address ID
CA923543450LO11370STXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,909 OPTOMETRY in CA

Provider Addresses for DR. WILLIAM H KIERNAN (OD)

  • 11370 ANDERSON ST STE 1800

    LOMA LINDA, CA 923543450

    Phone: (909) 558-2154

    Fax: (909) 558-2180

    Type: Mailing

  • Century Theatres La Quinta, 46800, Washington Street, La Quinta, Riverside County, California, 92253, United States

    SUITE 3

    LA QUINTA, CA 922532451

    Phone: (760) 564-2113

    Fax: (760) 564-2114

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-04-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040408000864IOptometryCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92012Established patient problem focused exam of visual system535362$0
92014Established patient complete exam of visual system2219$0
92002New patient problem focused exam of visual system1919$0
View full utilization report →

Insurance plans in this area (ZIP 92354)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1153227814View full group profile

Reviews

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Frequently asked questions

What is DR. WILLIAM H KIERNAN (OD)'s NPI number?
DR. WILLIAM H KIERNAN (OD)'s NPI is 1174548291 — the number used across U.S. healthcare to identify this provider.
Is DR. WILLIAM H KIERNAN (OD) still an active registrant?
DR. WILLIAM H KIERNAN (OD) carries an active NPI according to the public dataset.
What kind of doctor is DR. WILLIAM H KIERNAN (OD)?
DR. WILLIAM H KIERNAN (OD) is associated with Optometrist in the directory — Clinical services aligned with this taxonomy classification.
Is DR. WILLIAM H KIERNAN (OD) associated with Loma Linda?
Public fields place DR. WILLIAM H KIERNAN (OD) around Loma Linda, California. Always confirm the exact site before visiting.
Does DR. WILLIAM H KIERNAN (OD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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