DR. KATHLEEN MIRAFLORES (O.D.) – Optometrist, NPI 1932197712
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
958 OPTOMETRY in GA
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Provider Addresses for DR. KATHLEEN MIRAFLORES (O.D.)
Marietta Post Office, Front Street, Marietta Historic District, Harmar, Marietta, Washington County, Ohio, 45750, United States
MARIETTA, GA 300651694
Phone: (770) 578-4648
Type: Mailing
Walmart Supercenter, 2795, Chastain Meadows Parkway Northwest, The Enclave At Laura Creek, Marietta, Cobb County, Georgia, 30066, United States
MARIETTA, GA 300663361
Phone: (770) 425-8212
Fax: (770) 425-8592
Type: Location
451 SPRINGS END LN NE
MARIETTA, GA 300683076
Phone: (678) 926-1545
Type: Location
6995 CONCOURSE PKWY
DOUGLASVILLE, GA 301344551
Phone: (770) 489-2622
Fax: (770) 489-8318
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $931.
Total Amount is formed as General ($931) + Research ($0) + Ownership ($0) = $931.
Last reported payment date: 2024-11-08 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($435).
Total Amount
$931
General + Research + Ownership
Payments
8
Total payment records
General Amount
$931
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bausch & Lomb Americas Inc. | $435 |
| Johnson & Johnson Vision Care, Inc. | $211 |
| Tarsus Pharmaceuticals, Inc. | $145 |
| Alcon Vision LLC | $139 |
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: 2011-10-21
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 |
|---|---|---|---|---|
| I20111021000223 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 12 | 11 | $0 |
Insurance plans in this area (ZIP 30065)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | GA |
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