DR. KATHLEEN RYER KOMORNIK OD
NPI 1396274130
Optometrist in Richmond, VA

Active since June 06, 2017PECOS EnrolledAccepts Medicare Assignment
401 N 11TH ST STE 439, RICHMOND, VA 23219(804) 828-9315(804) 828-1010 Get Directions Write a Review

NPPES record last updated: March 10, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 10, 2026, Feb 13, 2025, Aug 3, 2022 and 3 more (6 updates tracked since 2017).

About Dr. Kathleen Ryer Komornik Od NPPES

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

DR. KATHLEEN RYER KOMORNIK OD (NPI 1396274130) is an individual optometrist in Richmond, Virginia, licensed in Virginia (0618003450) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with Medical College Of Virginia Hospitals, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1396274130
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. KATHLEEN RYER KOMORNIKCredential: OD
Location Address401 N 11TH ST STE 439Richmond, VA 23219-1901
Mailing AddressPo Box 780125Philadelphia, PA 19178-0125 · (804) 922-4844
Fax(804) 828-1010
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 6, 2017
Last NPPES UpdateMarch 10, 20266 updates tracked since enumeration
NPPES CertifiedMarch 10, 2026
NPI 1396274130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses Licensed in VA · 0618003450 Licensed in FL · 5393
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.
Also ListedOphthalmologyTaxonomy 207W00000X · License 0618003450 (VA)
401 N 11TH ST STE 439, Richmond, VA 23219

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. Kathleen Ryer Komornik 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 ID8527319466
PECOS Enrollment IDI20250307000741
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 4

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
88 services86 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
78 services64 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
19 services19 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.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Medical College Of Virginia Hospitals

Acute Care Hospitals · Richmond, VA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number490032
LocationPost Office Box 980510 1250 East Marshall StreetRichmond, VA 23298 · Richmond City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23219 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

Patient Reviews User submitted

Reviews are submitted by site visitors and approved by a human moderator before publication.

Review by Bryan ***** June 6, 2025

5/5
VCU’s Director of Medical Student Education referred me to Dr. Komornik—a referral that conveyed a significant degree of trust and confidence in her clinical expertise. Dr. Komornik demonstrated exceptional proficiency in ophthalmology and upheld the highest standards of professionalism. Her care exemplified VCU’s distinguished medical reputation for which I am sincerely grateful.
Provider 5/5 Office Staff 3/5
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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 Kathleen Komornik's NPI number?

The NPI number for Kathleen Komornik is 1396274130. It was assigned to this individual provider in the NPPES registry on June 6, 2017.

Where is Kathleen Komornik located?

Kathleen Komornik practices at 401 N 11th St Ste 439, Richmond, VA 23219. The listed phone number is (804) 828-9315.

What is Kathleen Komornik's specialty?

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

Is Kathleen Komornik enrolled in Medicare?

Yes. Kathleen Komornik 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 Kathleen Komornik 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, Providence Health Plan and Wellpoint list Kathleen Komornik 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.

Is Kathleen Komornik affiliated with any hospitals?

According to CMS data, Kathleen Komornik is affiliated with Medical College Of Virginia Hospitals.

When was this NPI record last updated?

The NPPES record for Kathleen Komornik was last updated on March 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.