AMY Y. KAO O.D.
NPI 1164770798
Optometrist in Rohnert Park, CA

Q: What is Amy Kao's NPI number?

The NPI number for Amy Kao is 1164770798. It was assigned to this individual provider in the NPPES registry on August 29, 2012.

Q: What is Amy Kao's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Amy Kao was last updated on June 7, 2022. 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.

Active since August 29, 2012PECOS Enrolled

5900 STATE FARM DR, ROHNERT PARK, CA 94928(707) 566-6060 Get Directions Write a Review

NPPES record last updated: June 7, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 7, 2022, Sep 20, 2019 (2 updates tracked since 2019).

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About Amy Y. Kao O.d. NPPES

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

AMY Y. KAO O.D. (NPI 1164770798) is an individual optometrist in Rohnert Park, California, licensed in California (14442TLG) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1164770798

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameAMY Y. KAOCredential: O.D.

Location Address5900 STATE FARM DRRohnert Park, CA 94928-2149

Mailing Address5900 State Farm DrRohnert Park, CA 94928-2149

Phone(707) 566-6060

Sole ProprietorYes

Enumeration DateAugust 29, 2012

Last NPPES UpdateJune 7, 20222 updates tracked since enumeration

NPPES CertifiedJune 7, 2022

✔ NPI 1164770798 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 · 14442TLG

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.

5900 STATE FARM DR, Rohnert Park, CA 94928

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Secondary Practice Locations 2

Location 11620 Saratoga AveSan Jose, CA 95129-5113 · Phone (408) 374-1001

Location 21179 N McDowell BlvdPetaluma, CA 94954 · Phone (707) 559-7500 · Fax (707) 559-7620

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amy Y. Kao O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

Medicare enrollment records show Amy Kao reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Petaluma Health Center Inc

Same address

Federally Qualified Health Center (FQHC)

5900 STATE FARM DR
Rohnert Park, CA 94928

Reassigned Medicare billing, California enrollment
63 clinicians in this Medicare group

NPI 1669870739 (707) 559-7500

Permanente Medical Group Inc

29 mi

Internal Medicine

975 SERENO DRIVE
Vallejo, CA 94589

Reassigned Medicare billing, California enrollment
20,078 clinicians in this Medicare group

NPI 1336222397 (707) 651-1000

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 94928 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

$142.00 typical visit price

range $63.04 – $187.01

Typical copayment $35.50 (range $15.76 – $46.75)

Most-billed visit code 99204

Established Patient

$77.94 typical visit price

range $21.02 – $153.40

Typical copayment $19.48 (range $5.25 – $38.35)

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.

MICHAEL D. MAGGIONCALDA DO

Family Medicine