DR. DANIEL KINGSLEY (O.D.) – Optometrist, NPI 1417063744

DR. DANIEL KINGSLEY (O.D.) is a healthcare provider. based in Forest, Virginia. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 0618000544 (VA). The NPI Number for DR. DANIEL KINGSLEY (O.D.) is 1417063744

Main info

Male
Sole Proprietor
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. DANIEL KINGSLEY (O.D.)
NPI
1417063744
Phone
(434) 385-5600
Address
1059 VISTA PARK DR STE C
Enumeration Date
21 August 2006
Last Update Date
18 March 2025

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Secondary Phone
8042871380
Graduation Year
1995 (31 years ago)
PAC ID
8921078783
Group Practice PAC ID
5799778320
Professional Enrollment ID
I20040728001632
Address ID
VA232337796HE12018STXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,052 OPTOMETRY in VA

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Provider Addresses for DR. DANIEL KINGSLEY (O.D.)

  • 1059 VISTA PARK DR STE C

    FOREST, VA 245514952

    Phone: (434) 385-5600

    Type: Mailing

  • 12018 W BROAD ST

    HENRICO, VA 232337796

    Phone: (804) 287-4200

    Fax: (804) 364-3379

    Type: Mailing

  • 100, North Virginia Street, Downtown Farmville, Farmville, Prince Edward County, Virginia, 23901, United States

    FARMVILLE, VA 239011537

    Phone: (434) 392-8113

    Fax: (434) 392-5934

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2004-07-28

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
I20040728001632IOptometryVATBD

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 minutes168119$0
99214Established patient office or other outpatient visit, 30-39 minutes10295$0
92014Established patient complete exam of visual system8180$0
92133Imaging of optic nerve7459$0
92134Imaging of retina5349$0
View full utilization report →

Insurance plans in this area (ZIP 24551)

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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: 5799778320View full group profile
NameSpecialtyState
O P H T H A L M O L O G YVA
O P T O M E T R YVA
O P H T H A L M O L O G YVA
O P H T H A L M O L O G YAZ
-VA
Nurse PractitionerVA
O P H T H A L M O L O G YVA
O P H T H A L M O L O G YTX
O P H T H A L M O L O G YVA
-VA

Reviews

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Frequently asked questions

Is there an official ID for DR. DANIEL KINGSLEY (O.D.) in U.S. healthcare records?
The official identifier for DR. DANIEL KINGSLEY (O.D.) is NPI 1417063744.
Active or inactive — what applies to DR. DANIEL KINGSLEY (O.D.)?
You should see DR. DANIEL KINGSLEY (O.D.) as active in CMS-hosted NPPES data.
What kind of doctor is DR. DANIEL KINGSLEY (O.D.)?
DR. DANIEL KINGSLEY (O.D.) is associated with Optometrist in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with DR. DANIEL KINGSLEY (O.D.)?
Directory geography for DR. DANIEL KINGSLEY (O.D.) centers on Forest, Virginia.
Can I trust this NPI listing for DR. DANIEL KINGSLEY (O.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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