DR. KIMBERLY A CARR-YEATES (O.D.) – Optometrist, NPI 1114903937

DR. KIMBERLY A CARR-YEATES (O.D.) is a healthcare provider. based in Olympia, Washington. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 3197TX (WA). The NPI Number for DR. KIMBERLY A CARR-YEATES (O.D.) is 1114903937

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. KIMBERLY A CARR-YEATES (O.D.)
NPI
1114903937
Phone
(360) 489-0493
Address
1510 COOPER POINT RD SW
Enumeration Date
22 December 2005
Last Update Date
3 November 2010

Doctor Profile

Medical School Name
SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Secondary Phone
5097734017
Graduation Year
1995 (31 years ago)
PAC ID
2961425830
Group Practice PAC ID
0648164269
Professional Enrollment ID
I20060105000707
Address ID
WA986209059GO317XXWAYX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,098 OPTOMETRY in WA

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Provider Addresses for DR. KIMBERLY A CARR-YEATES (O.D.)

  • 1510, Cooper Point Road Southwest, Olympia, Thurston County, Washington, 98502, United States

    STE 110

    OLYMPIA, WA 985025734

    Phone: (360) 489-0493

    Fax: (360) 943-9424

    Mailing address matches the actual address.

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 $20.

Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.

Last reported payment date: 2023-10-20 • Largest payer in this snapshot: Alcon Vision LLC ($20).

Total Amount

$20

General + Research + Ownership

Payments

1

Total payment records

General Amount

$20

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-20

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Alcon Vision LLC$20
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: 2006-01-05

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
I20060105000707IOptometryWATBD

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
92250Photography of the retina4242$0
99214Established patient office or other outpatient visit, 30-39 minutes1818$0
99204New patient office or other outpatient visit, 45-59 minutes1313$0
92083Exam of visual field with extended testing1111$0
View full utilization report →

Insurance plans in this area (ZIP 98502)

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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: 0648164269View full group profile
NameSpecialtyState
Family Practice, Preventive MedicineNM
Physician AssistantMT
Pain ManagementWA
Internal MedicineWA
Nurse PractitionerTN
-WA
Cardiovascular Disease (Cardiology)OR
Internal Medicine, Cardiovascular Disease (Cardiology)OR
Physician AssistantWA
Nurse PractitionerWA

Reviews

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Frequently asked questions

What number should I use to identify DR. KIMBERLY A CARR-YEATES (O.D.) for billing?
Administrative and clinical systems typically use NPI 1114903937 for DR. KIMBERLY A CARR-YEATES (O.D.).
Is DR. KIMBERLY A CARR-YEATES (O.D.)'s NPI status active today?
Active status means DR. KIMBERLY A CARR-YEATES (O.D.)'s NPI record is not deactivated in the public file.
How should patients interpret DR. KIMBERLY A CARR-YEATES (O.D.)'s specialty?
The extract shows Optometrist for DR. KIMBERLY A CARR-YEATES (O.D.). Clinical services aligned with this taxonomy classification.
Can patients visit DR. KIMBERLY A CARR-YEATES (O.D.) in Olympia, Washington?
For routing, start with Olympia, Washington for DR. KIMBERLY A CARR-YEATES (O.D.), then verify phone and hours locally.
Can I export DR. KIMBERLY A CARR-YEATES (O.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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