DR. KATHLEEN A. CLARY OD
NPI 1609849389
Optometrist - Corneal and Contact Management in Pooler, GA
About Dr. Kathleen A. Clary Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KATHLEEN A. CLARY OD (NPI 1609849389) is an individual corneal and contact management provider in Pooler, Georgia, licensed in Virginia (0618000373) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Kathleen A. Clary Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Kathleen Clary reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Pooler, GA 31322
- Reassigned Medicare billing, Georgia enrollment
- 7 clinicians in this Medicare group
Columbia, SC 29201
- Reassigned Medicare billing, South Carolina enrollment
- 26 clinicians in this Medicare group
Louisville, KY 40243
- Reassigned Medicare billing, South Carolina enrollment
- 25 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 31322 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 2
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 Kathleen Clary's NPI number?
The NPI number for Kathleen Clary is 1609849389. It was assigned to this individual provider in the NPPES registry on February 11, 2006.
Where is Kathleen Clary located?
Kathleen Clary practices at 200 Mosaic Cir, Pooler, GA 31322. The listed phone number is (912) 348-4584.
What is Kathleen Clary's specialty?
The primary specialty registered for this NPI is Optometrist, specializing in Corneal and Contact Management, with taxonomy code 152WC0802X.
Is Kathleen Clary enrolled in Medicare?
Yes. Kathleen Clary is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kathleen Clary's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Clary reassigns Medicare benefits to 3 organizations: Comprehensive Eyecare LLC (Pooler, GA), 360care LLC (Columbia, SC) and Mobile Vision Of South Carolina, LLC (Louisville, KY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kathleen Clary's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kathleen Clary accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Kathleen Clary 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 Kathleen Clary was last updated on November 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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. Kathleen A. Clary, OD · NPI 1609849389
Corneal and Contact Management provider in Pooler, Georgia. Individual provider, active in the CMS NPPES registry since February 11, 2006.
## Identity
- **NPI:** 1609849389 (Entity type: Individual)
- **Enumerated:** February 11, 2006
- **Primary specialty:** Optometrist - Corneal and Contact Management · taxonomy 152WC0802X
- **State license:** 0618000373 (Virginia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 200 MOSAIC CIR, Pooler, GA 31322-5025
- **Phone:** (912) 348-4584
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Comprehensive Eyecare LLC (NPI 1932778206, Pooler, GA); 360care LLC (NPI 1619598281, Columbia, SC); Mobile Vision Of South Carolina, LLC (NPI 1659731560, Louisville, KY) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 30, 2022
- **Other identifiers:** Medicaid D19772 (SC); Other SCB632E499 (SC)
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Source: [NPI Profile](https://npiprofile.com/npi/1609849389) · Data from the CMS NPPES public registry.