KMW VISION, LLC
NPI 1871193904
Optometrist in Marietta, GA

Active since October 28, 2020
150 COBB PKWY S, MARIETTA, GA 30060(770) 499-8332(770) 499-1809 Get Directions Write a Review

NPPES record last updated: June 21, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 21, 2021, Oct 28, 2020 (2 updates tracked since 2020).

About Kmw Vision, Llc NPPES

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

KMW VISION, LLC (NPI 1871193904) is a healthcare organization registered as an optometrist in Marietta, Georgia and active in the NPI registry since October 2020. The organization lists Katrenna Marie Washington, Owner, as its authorized official.

NPPES Registry Identity

NPI1871193904
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameKMW VISION, LLC
Location Address150 COBB PKWY SMarietta, GA 30060-9209
Mailing Address285 Centennial Olympic Park Dr Nw Unit 1704Atlanta, GA 30313-1851 · (314) 346-9549
Fax(770) 499-1809
Organization SubpartNo
Authorized OfficialKatrenna Marie WashingtonOwner · (314) 346-9549
Enumeration DateOctober 28, 2020
Last NPPES UpdateJune 21, 20212 updates tracked since enumeration
NPPES CertifiedJune 21, 2021
✔ NPI 1871193904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
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.
150 COBB PKWY S, Marietta, GA 30060

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kmw Vision, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kmw Vision, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Optometry
NPI 1366677338
150 COBB PKWY S
Marietta, GA 30060
(770) 499-8332
✔ PECOS✔ Accepts Medicare0.3 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Kmw Vision, LLC's NPI number?

The NPI number for Kmw Vision, LLC is 1871193904. It was assigned to this organization in the NPPES registry on October 28, 2020.

Where is Kmw Vision, LLC located?

Kmw Vision, LLC is located at 150 Cobb Pkwy S, Marietta, GA 30060. The listed phone number is (770) 499-8332.

What is Kmw Vision, LLC's specialty?

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

Is Kmw Vision, LLC enrolled in Medicare?

Yes. Kmw Vision, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kmw Vision, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Kmw Vision, LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kmw Vision, LLC was last updated on June 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.