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DR. KATHLEEN MIRAFLORES O.D.
NPI 1932197712
Optometrist in Marietta, GA

Active since October 06, 2005PECOS EnrolledAccepts Medicare Assignment
451 SPRINGS END LN NE, MARIETTA, GA 30068(678) 926-1545 Get Directions Write a Review

NPPES record last updated: March 18, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 18, 2026, Jan 23, 2022, Jun 19, 2018 (3 updates tracked since 2018).

About Dr. Kathleen Miraflores O.d. NPPES

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

DR. KATHLEEN MIRAFLORES O.D. (NPI 1932197712) is an individual optometrist in Marietta, Georgia, licensed in Georgia (2030) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS and is a graduate of University Of Missouri St Louis - School Of Optometry (2002).

NPPES Registry Identity

NPI1932197712
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. KATHLEEN MIRAFLORESCredential: O.D.
Location Address451 SPRINGS END LN NEMarietta, GA 30068-3076
Mailing Address451 Springs End Ln NeMarietta, GA 30068-3076 · (678) 926-1545
Phone(678) 926-1545
Sole ProprietorNo
Medical School CMSUniversity Of Missouri St Louis - School Of OptometryGraduated 2002
Enumeration DateOctober 6, 2005
Last NPPES UpdateMarch 18, 20263 updates tracked since enumeration
NPPES CertifiedMarch 18, 2026
✔ NPI 1932197712 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 GA · 2030
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.
451 SPRINGS END LN NE, Marietta, GA 30068
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Other Identifiers 1

Medicaid594337142DGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kathleen Miraflores O.d. 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 ID345412136
PECOS Enrollment IDI20111021000223
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 Reassignment

Medicare enrollment records show Kathleen Miraflores reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Adairsville Eye Associates LLC
38 mi
Optometrist
14 LEGACY WAY STE D
Adairsville, GA 30103
  • Reassigned Medicare billing, Georgia enrollment
  • 6 clinicians in this Medicare group
NPI 1538823315 (770) 773-1584

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 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.

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.
29 services28 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.
20 services20 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.
18 services13 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.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30068 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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.

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 Miraflores's NPI number?

The NPI number for Kathleen Miraflores is 1932197712. It was assigned to this individual provider in the NPPES registry on October 6, 2005.

Where is Kathleen Miraflores located?

Kathleen Miraflores practices at 451 Springs End Ln NE, Marietta, GA 30068. The listed phone number is (678) 926-1545.

What is Kathleen Miraflores's specialty?

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

Is Kathleen Miraflores enrolled in Medicare?

Yes. Kathleen Miraflores 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.

Which organization bills Medicare for Kathleen Miraflores's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Miraflores reassigns Medicare benefits to Adairsville Eye Associates LLC (Adairsville, GA). The 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 Miraflores's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kathleen Miraflores accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 13 other insurers list Kathleen Miraflores 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 Miraflores was last updated on March 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.