Michael Alan Kimmelman, O.D.

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

0953 Issued in FL

Practice address

2279 S University Dr
Davie, FL 33324-5828

Phone

(954) 473-0100

Fax

(954) 474-7832

NPI assigned

Aug 19, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jazzy Eyes, Inc.

  • Eyewear Supplier
  • Davie, FL
  • NPI 1174744288
  Authorized official Same address or phone
• Michael Kimmelman OD PA

  • Optometrist
  • Davie, FL
  • NPI 1952610891
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073628392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16240 LA COSTA DR",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333261422",
            "telephone_number": "954-389-0559",
            "fax_number": "954-474-7832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2279 S UNIVERSITY DR",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333245828",
            "telephone_number": "954-473-0100",
            "fax_number": "954-474-7832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMMELMAN",
        "first_name": "MICHAEL",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "FL",
            "license": "0953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evren Kilinc, D.D.S, PH.D., M.P.H.
• Ki Beom Kim, DDS, MSD, PHD
• Margaret A. Kim, D.D.S.
• Yeon Jeong Kim
• Kimberly Marin Ap Rd Inc
• Kind Hearts Care Group LLC (Kind Hearts Senior Care & Concierge Services)
• Angela Kinderman, MMS, PA-C
• Kinesis Chiropractic, PLLC
• Kinship Pace of South Florida
• Frances Catherine Kipfer, PA-C

• Corneal and Contact Management Optometrist in Davie, FL
• Providers in Davie, FL by specialty
• Corneal and Contact Management Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.