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KIRSTEN M HEALEY
NPI 1205974250
Optometrist in Middletown, RI

Active since February 02, 2007PECOS EnrolledAccepts Medicare Assignment
314 OLIPHANT LN, MIDDLETOWN, RI 02842(401) 849-0190(401) 849-3986 Get Directions Write a Review

NPPES record last updated: October 23, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kirsten M Healey NPPES

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

KIRSTEN M HEALEY (NPI 1205974250) is an individual optometrist in Middletown, Rhode Island, licensed in Rhode Island (ODT00478) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (1996).

NPPES Registry Identity

NPI1205974250
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameKIRSTEN M HEALEY
Location Address314 OLIPHANT LNMiddletown, RI 02842-4613
Mailing Address314 Oliphant LnMiddletown, RI 02842-4613 · (401) 849-0190 · Fax (401) 849-3986
Phone(401) 849-0190
Fax(401) 849-3986
Sole ProprietorYes
Medical School CMSNew England College Of OptometryGraduated 1996
Enumeration DateFebruary 2, 2007
Last NPPES UpdateOctober 23, 2025
NPPES CertifiedOctober 23, 2025
✔ NPI 1205974250 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 RI · ODT00478
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.

314 OLIPHANT LN, Middletown, RI 02842
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Kirsten M Healey 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 ID2062300015
PECOS Enrollment IDI20101203000701
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.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
1,661 services11 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
292 services292 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
170 services165 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
44 services34 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
31 services26 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
29 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02842 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
$134.17 typical visit price
range $58.57 – $177.03
Typical copayment $33.54 (range $14.64 – $44.25)
Most-billed visit code 99204
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
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

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

SAKONNET EYE CARE, INC.
Optometrist
314 OLIPHANT LN
MIDDLETOWN, RI 02842
Newport County (401) 849-0190

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 Kirsten Healey's NPI number?

The NPI number for Kirsten Healey is 1205974250. It was assigned to this individual provider in the NPPES registry on February 2, 2007.

Where is Kirsten Healey located?

Kirsten Healey practices at 314 Oliphant Ln, Middletown, RI 02842. The listed phone number is (401) 849-0190.

What is Kirsten Healey's specialty?

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

Is Kirsten Healey enrolled in Medicare?

Yes. Kirsten Healey 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 Kirsten Healey accept?

Health plans from Providence Health Plan list Kirsten Healey 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 Kirsten Healey was last updated on October 23, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.