Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kathleen Ryer Komornik, OD

Individual provider Optometrist · NPI 1396274130

Dr. Kathleen Ryer Komornik, OD is an Optometry in Richmond, Virginia. Qualified in 2017, 9 years ago. Practices with Mcv Associated Physicians, a 1,767-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida and Virginia.

Years since qualifying
9
Licensed in
FL, VA
In the registry since
2017
Specialties on file
3
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

401 N 11th St Ste 439
Richmond, VA 23219-1901
Phone: (804) 828-9315
Fax: (804) 828-1010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 8700 Stony Point Pkwy Ste 220, Richmond, VA 23235-1966 — (804) 323-0830
  • 1250 E Marshall St, Richmond, VA 23298-5023 — (804) 828-9315

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 0618003450 (VA)
Optometrist Taxonomy 152W00000X · Licence 5393 (FL)
Ophthalmology Physician Taxonomy 207W00000X · Licence 0618003450 (VA)

Record details

NPI number1396274130
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedJune 6, 2017
Last updated in NPPESMarch 10, 2026
Certification dateMarch 10, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice McV Associated Physicians — 1767 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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