KIMBERLY KAY HARRIS (OD) – Optometrist, NPI 1649249442

KIMBERLY KAY HARRIS (OD) is a healthcare provider. based in Vienna, Virginia. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OEG000028 (PA). The NPI Number for KIMBERLY KAY HARRIS (OD) is 1649249442

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY KAY HARRIS (OD)
NPI
1649249442
Phone
(703) 847-8899
Address
8614 WESTWOOD CENTER DR FL 9
Enumeration Date
15 March 2006
Last Update Date
18 November 2022

Doctor Profile

Medical School Name
PENNSYLVANIA COLLEGE OF OPTOMETRY
Secondary Phone
7172584422
Graduation Year
1996 (30 years ago)
PAC ID
4981667110
Group Practice PAC ID
3971884883
Professional Enrollment ID
I20041109000703
Address ID
PA170133160CA319XXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,771 OPTOMETRY in PA

Provider Addresses for KIMBERLY KAY HARRIS (OD)

  • 8614 WESTWOOD CENTER DR FL 9

    VIENNA, VA 221822442

    Phone: (703) 847-8899

    Fax: (571) 223-6780

    Type: Mailing

  • 319 YORK RD

    CARLISLE, PA 170133160

    Phone: (717) 258-4422

    Fax: (717) 258-4245

    Type: Location

  • 120, South Hanover Street, Carlisle, Cumberland County, Pennsylvania, 17013, United States

    CARLISLE, PA 17013

    Phone: (717) 245-2020

    Fax: (717) 246-2286

    Type: Mailing

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 $241.

Total Amount is formed as General ($241) + Research ($0) + Ownership ($0) = $241.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Alcon Vision LLC ($144).

Total Amount

$241

General + Research + Ownership

Payments

8

Total payment records

General Amount

$241

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

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: 2004-11-09

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
I20041109000703IOptometryPATBD

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
92012Established patient problem focused exam of visual system5353$0
92014Established patient complete exam of visual system4443$0
99213Established patient office or other outpatient visit, 20-29 minutes3123$0
View full utilization report →

Insurance plans in this area (ZIP 22182)

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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: 3971884883View full group profile
NameSpecialtyState
-PA
O P T O M E T R YPA
O P T O M E T R YPA
O P T O M E T R YPA
O P T O M E T R YPA
O P T O M E T R YPA
O P T O M E T R YPA
O P T O M E T R YPA
O P T O M E T R YVA
O P T O M E T R YPA

Reviews

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Frequently asked questions

What number should I use to identify KIMBERLY KAY HARRIS (OD) for billing?
Administrative and clinical systems typically use NPI 1649249442 for KIMBERLY KAY HARRIS (OD).
Does the public listing show KIMBERLY KAY HARRIS (OD) as active?
KIMBERLY KAY HARRIS (OD)'s NPI record reflects an active status in NPPES.
What type of care does KIMBERLY KAY HARRIS (OD) provide?
KIMBERLY KAY HARRIS (OD)'s profile centers on Optometrist. Clinical services aligned with this taxonomy classification.
Which community is linked to KIMBERLY KAY HARRIS (OD)?
KIMBERLY KAY HARRIS (OD) shows a connection to Vienna, Virginia in registry-derived data.
Why is information missing for KIMBERLY KAY HARRIS (OD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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