KATHLEEN CWIKLA (OD) – Optometrist, NPI 1669095675

KATHLEEN CWIKLA (OD) is a healthcare provider. based in Yulee, Florida. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OPC5785 (FL). The NPI Number for KATHLEEN CWIKLA (OD) is 1669095675

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
KATHLEEN CWIKLA (OD)
NPI
1669095675
Phone
(907) 277-2779
Address
463867 State Road 200 Ste 4
Enumeration Date
26 May 2020
Last Update Date
28 December 2023

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
9042615741134
Graduation Year
2020 (6 years ago)
PAC ID
0941623490
Group Practice PAC ID
9133473325
Professional Enrollment ID
I20200701000372
Address ID
FL320343212FE6XXXXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

2,055 OPTOMETRY in FL

Provider Addresses for KATHLEEN CWIKLA (OD)

  • 463867 State Road 200 Ste 4

    Yulee, FL 320973605

    Phone: (907) 277-2779

    Type: Location

  • 6 S 14th St

    Fernandina Beach, FL 320343212

    Phone: (904) 261-5741

    Type: Location

  • 463867 STATE ROAD 200 STE 4

    YULEE, FL 320973605

    Phone: (907) 277-2779

    Type: Mailing

  • 1523 SADLER RD

    FERNANDINA BEACH, FL 320344467

    Phone: (904) 261-5955

    Type: Location

  • 2416 LYNNDALE RD STE 201

    FERNANDINA BEACH, FL 320345230

    Phone: (042) 615-7419

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 24 Open Payments records for all available years, with a total value of $982.

Total Amount is formed as General ($982) + Research ($0) + Ownership ($0) = $982.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Alcon Vision LLC ($417).

Total Amount

$982

General + Research + Ownership

Payments

24

Total payment records

General Amount

$982

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2020-07-01

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
I20200701000372IOptometryFLTBD

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 32097)

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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: 9133473325View full group profile
NameSpecialtyState
O P T O M E T R YGA
-FL
O P T O M E T R YFL
O P T O M E T R YGA
O P T O M E T R YFL
O P T O M E T R YFL
O P H T H A L M O L O G YFL
O P T O M E T R YFL
O P T O M E T R YGA
O P T O M E T R YFL

Reviews

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Frequently asked questions

What is the registry number for KATHLEEN CWIKLA (OD)?
The registry entry for KATHLEEN CWIKLA (OD) shows NPI 1669095675.
Is KATHLEEN CWIKLA (OD) currently accepting referrals based on NPI status?
Registry metadata lists KATHLEEN CWIKLA (OD) as active.
Which specialty label fits KATHLEEN CWIKLA (OD)?
NPPES ties KATHLEEN CWIKLA (OD) to Optometrist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to KATHLEEN CWIKLA (OD)?
KATHLEEN CWIKLA (OD) shows a connection to Yulee, Florida in registry-derived data.
Who maintains KATHLEEN CWIKLA (OD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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