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KAYLI NICOLE STANDRIDGE OD
NPI 1063393163
Optometrist in Hickory, NC

Active since September 08, 2025PECOS EnrolledAccepts Medicare Assignment
2424 CENTURY PL SE, HICKORY, NC 28602(828) 322-2050(828) 345-0522 Get Directions Write a Review

NPPES record last updated: September 24, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kayli Nicole Standridge Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAYLI NICOLE STANDRIDGE OD (NPI 1063393163) is an individual optometrist in Hickory, North Carolina, licensed in North Carolina (2894) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Southern College Of Optometry (2025).

NPPES Registry Identity

NPI1063393163
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameKAYLI NICOLE STANDRIDGECredential: OD
Location Address2424 CENTURY PL SEHickory, NC 28602-4031
Mailing AddressPo Box 3445Hickory, NC 28603-3445 · (828) 322-2050 · Fax (828) 345-0522
Phone(828) 322-2050
Fax(828) 345-0522
Sole ProprietorNo
Medical School CMSSouthern College Of OptometryGraduated 2025
Enumeration DateSeptember 8, 2025
Last NPPES UpdateSeptember 24, 2025
NPPES CertifiedSeptember 24, 2025
✔ NPI 1063393163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in NC · 2894
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
2424 CENTURY PL SE, Hickory, NC 28602
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Secondary Practice Locations 4

Location 12060 Hickory Blvd SWLenoir, NC 28645-6459 · Phone (828) 322-2050 ext. 6843 · Fax (828) 345-0522
Location 248 Boone TrlNorth Wilkesboro, NC 28659-3515 · Phone (888) 626-2020 ext. 6843 · Fax (828) 345-0522
Location 32311 E Main StLincolnton, NC 28092-4103 · Phone (828) 322-2050 ext. 6843 · Fax (828) 345-0522
Location 42640 Highway 105Boone, NC 28607-7826 · Phone (828) 322-2050 ext. 6843 · Fax (828) 345-0522

Other Identifiers 1

Other2894NC · License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of NC, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kayli Nicole Standridge Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901394709
PECOS Enrollment IDI20251023001293
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kayli Standridge reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Graystone Ophthalmology Associates, P.A.
Same address
Ophthalmology
2424 CENTURY PL SE
Hickory, NC 28602
  • Reassigned Medicare billing, North Carolina enrollment
  • 19 clinicians in this Medicare group
NPI 1598700114 (828) 322-2050

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28602 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOSHUA GODFREY PASCHALL M.D.
Ophthalmology
2424 CENTURY PL SE
HICKORY, NC 28602
Catawba County (828) 322-2050
EVAN HARRISON DO
Ophthalmology
2424 CENTURY PL SE
HICKORY, NC 28602
Catawba County (828) 322-2050
JACOB PAUL KEENER OD
Optometrist
2424 CENTURY PL SE
HICKORY, NC 28602
Catawba County (828) 322-2050
GRAYSTONE EYE SURGERY CENTER LLC
Clinic/Center (Ambulatory Surgical)
2424 CENTURY PL SE
HICKORY, NC 28602
Catawba County (828) 322-2050
PRIYAL SHAH MD
Ophthalmology
2424 CENTURY PL SE
HICKORY, NC 28602
Catawba County (828) 322-2050
HEATHER HILL DAY OD
Optometrist
2424 CENTURY PL SE
HICKORY, NC 28602
Catawba County (828) 332-2205
DR. RICHARD INKI CHANG M.D.
Ophthalmology
2424 CENTURY PL SE
HICKORY, NC 28602
Catawba County (828) 322-2050
DR. ENRIQUE EDUARDO CALDERON M.D.
Ophthalmology
2424 CENTURY PL SE
HICKORY, NC 28602
Catawba County (828) 322-2050

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kayli Standridge's NPI number?

The NPI number for Kayli Standridge is 1063393163. It was assigned to this individual provider in the NPPES registry on September 8, 2025.

Where is Kayli Standridge located?

Kayli Standridge practices at 2424 Century Pl SE, Hickory, NC 28602. The listed phone number is (828) 322-2050.

What is Kayli Standridge's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Kayli Standridge enrolled in Medicare?

Yes. Kayli Standridge is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kayli Standridge's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kayli Standridge reassigns Medicare benefits to Graystone Ophthalmology Associates, P.A. (Hickory, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kayli Standridge's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kayli Standridge accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of NC, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Cigna Healthcare and 9 other insurers list Kayli Standridge as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kayli Standridge was last updated on September 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.