DR. CARLY JEAN KIOMALL OD, MPH
NPI 1124549332
Optometrist in Roswell, GA
About Dr. Carly Jean Kiomall Od, Mph NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CARLY JEAN KIOMALL OD, MPH (NPI 1124549332) is an individual optometrist in Roswell, Georgia, licensed in Pennsylvania (OEG003398) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Canton, and is a graduate of Pennsylvania College Of Optometry (2017).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Carly Jean Kiomall Od, Mph 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30076 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Carly Kiomall's NPI number?
The NPI number for Carly Kiomall is 1124549332. It was assigned to this individual provider in the NPPES registry on June 28, 2017. The provider is also known as Dr. Carly Jean Grondin.
Where is Carly Kiomall located?
Carly Kiomall practices at 11690 Alpharetta Hwy, Roswell, GA 30076. The listed phone number is (770) 475-5515.
What is Carly Kiomall's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Carly Kiomall enrolled in Medicare?
Yes. Carly Kiomall 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.
What insurance does Carly Kiomall accept?
Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Carly Kiomall 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 Carly Kiomall was last updated on October 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Carly Jean Kiomall, OD, MPH · NPI 1124549332
Optometrist provider in Roswell, Georgia. Individual provider, active in the CMS NPPES registry since June 28, 2017.
## Identity
- **NPI:** 1124549332 (Entity type: Individual)
- **Enumerated:** June 28, 2017
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** OEG003398 (Pennsylvania)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 11690 ALPHARETTA HWY, Roswell, GA 30076-3805
- **Phone:** (770) 475-5515
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Medical school:** Pennsylvania College Of Optometry, class of 2017
## Record status
- **NPPES last updated:** October 15, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1124549332) · Data from the CMS NPPES public registry.