KAYLA M ROSE (OD) – Optometrist, NPI 1992364020

KAYLA M ROSE (OD) is a healthcare provider. based in Providence, Rhode Island. specializing in Optometrist. They hold the professional credentials OD. They hold a License No. ODTG00679 (RI). The NPI Number for KAYLA M ROSE (OD) is 1992364020

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
KAYLA M ROSE (OD)
NPI
1992364020
Phone
(401) 331-7850
Address
891 WESTMINSTER ST
Enumeration Date
12 June 2019
Last Update Date
27 November 2023

Doctor Profile

Medical School Name
NEW ENGLAND COLLEGE OF OPTOMETRY
Secondary Phone
4017696323
Graduation Year
2019 (7 years ago)
PAC ID
7315271293
Group Practice PAC ID
4789729880
Professional Enrollment ID
I20190626002716

Contacts

Secure Messaging
kayla1@duquettefamilyeye.emadirect.md
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness85
Years active:6State licenses:1Other namesUpdated within 12 months

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Provider Addresses for KAYLA M ROSE (OD)

  • 891, Westminster Street, Olneyville, Providence, Providence County, Rhode Island, 02903, United States

    PROVIDENCE, RI 029034020

    Phone: (401) 331-7850

    Type: Mailing

  • Pound Hill Road, Union Village, North Smithfield, Providence County, Rhode Island, 02896, United States

    NORTH SMITHFIELD, RI 028969358

    Phone: (401) 769-6323

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $117.

Total Amount is formed as General ($117) + Research ($0) + Ownership ($0) = $117.

Last reported payment date: 2024-07-12 • Largest payer in this snapshot: Alcon Vision LLC ($117).

Total Amount

$117

General + Research + Ownership

Payments

1

Total payment records

General Amount

$117

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-12

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Alcon Vision LLC$117
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: 2019-06-26

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
I20190626002716IOptometryRITBD

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 02903)

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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: 4789729880View full group profile
NameSpecialtyState
O P T O M E T R YRI
O P T O M E T R YRI
O P T O M E T R YMA

Reviews

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Frequently asked questions

What identifier follows KAYLA M ROSE (OD) across health systems?
The NPI 1992364020 uniquely identifies KAYLA M ROSE (OD) in U.S. healthcare data.
Does the public listing show KAYLA M ROSE (OD) as active?
KAYLA M ROSE (OD)'s NPI record reflects an active status in NPPES.
Which specialty label fits KAYLA M ROSE (OD)?
NPPES ties KAYLA M ROSE (OD) to Optometrist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to KAYLA M ROSE (OD)?
The directory associates KAYLA M ROSE (OD) with Providence, Rhode Island. Check all listed addresses for suites or satellite offices.
Can I export KAYLA M ROSE (OD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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