DR. CARLY JEAN KIOMALL (OD, MPH) – Optometrist, NPI 1124549332
Optometrist
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
958 OPTOMETRY in GA
Provider Addresses for DR. CARLY JEAN KIOMALL (OD, MPH)
1409 Sixes Rd
Canton, GA 301148950
Phone: (770) 852-2733
Fax: (678) 394-9948
Type: Location
39, Belanger Avenue, Cumberland County, Maine, 04062, United States
WINDHAM, ME 040625051
Phone: (207) 756-0957
Type: Mailing
Buerger Center, 3500, Civic Center Boulevard, University City, Philadelphia, Philadelphia County, Pennsylvania, 19104, United States
PHILADELPHIA, PA 191044395
Phone: (215) 590-2791
Type: Location
5901 PEACHTREE DUNWOODY RD STE A500
ATLANTA, GA 303287162
Phone: (678) 781-7373
Type: Mailing
11690 ALPHARETTA HWY
ROSWELL, GA 300763805
Phone: (770) 475-5515
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $180.
Total Amount is formed as General ($180) + Research ($0) + Ownership ($0) = $180.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: ABBVIE INC. ($68).
Total Amount
$180
General + Research + Ownership
Payments
8
Total payment records
General Amount
$180
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $68 |
| Sun Pharmaceutical Industries Inc. | $35 |
| Tarsus Pharmaceuticals, Inc. | $31 |
| Oyster Point Pharma, Inc. | $18 |
| Dompe US, Inc. | $17 |
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: 2021-03-18
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210318002538 | I | Optometry | GA | TBD |
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.
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 30114)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | GA | |
| O P H T H A L M O L O G Y | GA | |
| O P H T H A L M O L O G Y | GA | |
| O P T O M E T R Y | MI | |
| O P T O M E T R Y | GA | |
| O P H T H A L M O L O G Y | FL | |
| O P T O M E T R Y | GA | |
| O P T O M E T R Y | GA | |
| O P H T H A L M O L O G Y | GA | |
| O P T O M E T R Y | GA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.