DR. KIA BOROUMAND (OD) – Optometrist, NPI 1295258465

DR. KIA BOROUMAND (OD) is a healthcare provider. based in Johnstown, Pennsylvania. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OEG003313 (PA). The NPI Number for DR. KIA BOROUMAND (OD) is 1295258465

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. KIA BOROUMAND (OD)
NPI
1295258465
Phone
(814) 248-1812
Address
203 OAK EDEN DR
Enumeration Date
19 July 2017
Last Update Date
13 October 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8144724240
Graduation Year
2017 (9 years ago)
PAC ID
4486920337
Group Practice PAC ID
6800119421
Professional Enrollment ID
I20171023000016
Address ID
PA159311584EB414XXSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

1,779 OPTOMETRY in PA

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Provider Addresses for DR. KIA BOROUMAND (OD)

  • 203 OAK EDEN DR

    JOHNSTOWN, PA 159041865

    Phone: (814) 248-1812

    Type: Mailing

  • 112, Logan Boulevard, South Altoona, Altoona, Blair County, Pennsylvania, 16602, United States

    ALTOONA, PA 166024067

    Phone: (814) 946-5292

    Type: Location

  • 414 W HIGH ST

    EBENSBURG, PA 159311584

    Phone: (814) 472-4240

    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 $216.

Total Amount is formed as General ($216) + Research ($0) + Ownership ($0) = $216.

Last reported payment date: 2024-10-16 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($137).

Total Amount

$216

General + Research + Ownership

Payments

8

Total payment records

General Amount

$216

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-16

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: 2017-10-23

PECOS data refreshed: 2026-06-15

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
I20171023000016IOptometryPATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes8170$0
99212Established patient office or other outpatient visit, 10-19 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 15904)

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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: 6800119421View full group profile
NameSpecialtyState
O P T O M E T R YPA
O P T O M E T R YPA

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. KIA BOROUMAND (OD)?
DR. KIA BOROUMAND (OD) — NPI 1295258465 — is the standard way to identify this listing.
Does CMS list DR. KIA BOROUMAND (OD) as active?
Yes — DR. KIA BOROUMAND (OD) is active in the NPI listing used on this page.
What taxonomy line describes DR. KIA BOROUMAND (OD)?
For research purposes, treat DR. KIA BOROUMAND (OD) as Optometrist in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DR. KIA BOROUMAND (OD)?
DR. KIA BOROUMAND (OD)'s geographic hint is Johnstown, Pennsylvania in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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