MARY CAIRNIE (O.D.) – Optometrist, NPI 1205205408

MARY CAIRNIE (O.D.) is a healthcare provider. based in Marina del rey, California. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 56008328 (NY). The NPI Number for MARY CAIRNIE (O.D.) is 1205205408

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
MARY CAIRNIE (O.D.)
NPI
1205205408
Phone
(330) 466-4136
Address
4245 VIA MARINA # L401
Enumeration Date
17 September 2015
Last Update Date
14 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6267934168
Graduation Year
2015 (11 years ago)
PAC ID
2668751108
Group Practice PAC ID
2264851740
Professional Enrollment ID
I20161128000827
Address ID
CA911073747PA2619XBLVD401

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness85
Years active:10State licenses:4Other namesUpdated within 12 months

3,909 OPTOMETRY in CA

Provider Addresses for MARY CAIRNIE (O.D.)

  • 4245 VIA MARINA # L401

    MARINA DEL REY, CA 902925280

    Phone: (330) 466-4136

    Type: Mailing

  • 150 S GRAND AVE STE J

    GLENDORA, CA 917414716

    Phone: (626) 335-2114

    Type: Location

  • 1807 N MAIN ST

    MIDLAND, TX 797056711

    Phone: (330) 466-4136

    Type: Mailing

  • 6018 EASTRIDGE RD # B

    ODESSA, TX 797625056

    Phone: (432) 367-3400

    Type: Location

  • 5 Centerpointe Dr

    LA Palma, CA 906231050

    Phone: (714) 562-3308

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $384.

Total Amount is formed as General ($384) + Research ($0) + Ownership ($0) = $384.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Lumenis BE inc ($222).

Total Amount

$384

General + Research + Ownership

Payments

7

Total payment records

General Amount

$384

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2016-11-28

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
I20161128000827IOptometryCATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 90292)

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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: 2264851740View full group profile
NameSpecialtyState
O P H T H A L M O L O G YVA
O P T O M E T R YCA
O P T O M E T R YCA
O P H T H A L M O L O G YCA
O P T O M E T R YCA
O P T O M E T R YCA
O P T O M E T R YCA
O P H T H A L M O L O G YFL
O P T O M E T R YCA
O P T O M E T R YCA

Reviews

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Frequently asked questions

Can I verify MARY CAIRNIE (O.D.) with an NPI only?
You can start verification with NPI 1205205408 for MARY CAIRNIE (O.D.), then check state licensing separately.
Does the file indicate MARY CAIRNIE (O.D.) is practicing under active NPI?
Directory data currently reports MARY CAIRNIE (O.D.) as active.
What taxonomy line describes MARY CAIRNIE (O.D.)?
For research purposes, treat MARY CAIRNIE (O.D.) as Optometrist in this dataset. Clinical services aligned with this taxonomy classification.
Where is MARY CAIRNIE (O.D.) based?
MARY CAIRNIE (O.D.) is tied to Marina Del Rey, California in the data we show; additional addresses may exist on the full record.
Is the information about MARY CAIRNIE (O.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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