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KIMBERLY MICHEL OD
NPI 1104181460
Optometrist in Vista, CA

Active since July 11, 2012Opted out of Medicare · through Jan 12, 2027
1755 HACIENDA DR, VISTA, CA 92081(760) 631-0654(760) 631-0621 Get Directions Write a Review

NPPES record last updated: July 20, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 20, 2020, Jun 9, 2020 (2 updates tracked since 2020).

About Kimberly Michel Od NPPES

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

KIMBERLY MICHEL OD (NPI 1104181460) is an individual optometrist in Vista, California, licensed in California (14463) and active in the NPI registry since July 2012. She has opted out of Medicare through January 12, 2027.

NPPES Registry Identity

NPI1104181460
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameKIMBERLY MICHELCredential: OD
Location Address1755 HACIENDA DRVista, CA 92081-4546
Mailing Address1755 Hacienda DrVista, CA 92081-4546 · (760) 631-0654 · Fax (760) 631-0621
Phone(760) 631-0654
Fax(760) 631-0621
Sole ProprietorNo
Enumeration DateJuly 11, 2012
Last NPPES UpdateJuly 20, 20202 updates tracked since enumeration
NPPES CertifiedJuly 20, 2020
✔ NPI 1104181460 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 CA · 14463
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.
1755 HACIENDA DR, Vista, CA 92081
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kimberly Michel Od has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 12, 2021 through January 12, 2027.

Opt-Out Effective DateJanuary 12, 2021
Opt-Out In Effect ThroughJanuary 12, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 9

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

DR. PATRICIA JAY BACA PHARM.D
Pharmacist
1755 HACIENDA DR
VISTA, CA 92081
San Diego County (760) 631-5378
DR. LYNNE ELDON DRAKE PHARM.D.
Pharmacist
1755 HACIENDA DR
VISTA, CA 92081
San Diego County (760) 631-5378
KIMBERLY A. MICHEL, O.D., A PROFESSIONAL CORPORATION
Optometrist
1755 HACIENDA DR
VISTA, CA 92081
San Diego County (760) 631-0654
COSTCO WHOLESALE CORPORATION
Hearing Aid Equipment
1755 HACIENDA DR
VISTA, CA 92081
San Diego County (706) 395-5995
COSTCO WHOLESALE CORPORATION
Eyewear Supplier
1755 HACIENDA DR
VISTA, CA 92081
San Diego County (760) 631-7537
COSTCO WHOLESALE CORPORATION
Pharmacy (Community/Retail Pharmacy)
1755 HACIENDA DR
VISTA, CA 92081
San Diego County (760) 631-5378
DR. TANIA MOJTEHEDI WASKIEWICZ OD
Optometrist
1755 HACIENDA DR
VISTA, CA 92081
San Diego County (760) 631-0654
DR. MICHAEL TRAN O.D.
Optometrist
1755 HACIENDA DR
VISTA, CA 92081
San Diego County (760) 631-0654

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 Kimberly Michel's NPI number?

The NPI number for Kimberly Michel is 1104181460. It was assigned to this individual provider in the NPPES registry on July 11, 2012.

Where is Kimberly Michel located?

Kimberly Michel practices at 1755 Hacienda Dr, Vista, CA 92081. The listed phone number is (760) 631-0654.

What is Kimberly Michel's specialty?

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

Is Kimberly Michel enrolled in Medicare?

No. Kimberly Michel has opted out of Medicare through January 12, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Kimberly Michel accept?

Health plans from Blue Cross Blue Shield of Wyoming list Kimberly Michel 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 Kimberly Michel was last updated on July 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.