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

Dr. Kimberly Mark Douglas, OD

Individual provider Optometrist · NPI 1942533153

Dr. Kimberly Mark Douglas, OD is an Optometry in Wake Forest, North Carolina. Graduated from University of Missouri St Louis - School of Optometry in 2009, 17 years ago. Practices with McPherson Family Eye Care OD PA, a 7-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
17
Trained at
University of Missouri St Louis - School of Optometry
Licensed in
NC
In the registry since
2009
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

3150 Rogers Rd Ste 110
Wake Forest, NC 27587-4196
Phone: (919) 263-9163
Fax: (919) 263-9408
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 15640 Don Lochman Ln Ste C, Charlotte, NC 28277-4442 — (704) 943-5110
  • 11030 Golf Links Dr Ste 204, Charlotte, NC 28277-8047 — (704) 943-5110

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2257 (NC)

Record details

NPI number1942533153
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedSeptember 8, 2009
Last updated in NPPESOctober 3, 2024
Certification dateSeptember 30, 2024

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolUNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Graduated 2009 (17 years in practice)
Group practice McPherson Family Eye Care Od Pa — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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