Kimberly Goergiann Bray, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

18003333B Issued in IN

Practice address

3801 S US Highway 41 Ste a-1
Terre Haute, IN 47802-4107

Phone

(812) 232-7461

NPI assigned

Mar 23, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

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

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Indiana University - School of Optometry, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

First Impressions Optometric Associates, LLCGroup PAC ID 6800281825, 30 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• First Impressions Optometric Associates, LLC

  • Optometrist
  • Bloomington, IN
  • NPI 1083366363
  Medicare reassignment Care Compare group NPD
• Dan Wendorff OD PC

  dba Wendorff Eye Care

  • Corneal and Contact Management Optometrist
  • Indianapolis, IN
  • NPI 1194802694
  Medicare reassignment NPD
• Irefract PC

  dba iRefract

  • Optometrist
  • Louisville, KY
  • NPI 1679166193

  IN

  Medicare reassignment NPD
• First Impressions Optometric Associates, LLC

  • Eyewear Supplier
  • Highland, IN
  • NPI 1942960539

  Optometrist

  NPD
• First Impressions Optometric Associates, LLC

  • Eyewear Supplier
  • Avon, IN
  • NPI 1205596996

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073630950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2862 E CHEROKEE TRAIL DR",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478025000",
            "telephone_number": "812-298-0170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 S US HIGHWAY 41 STE A-1",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478024107",
            "telephone_number": "812-232-7461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAY",
        "first_name": "KIMBERLY",
        "middle_name": "GOERGIANN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003333B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debby Brainard, PTA
• Meagan Brakob, LAT, ATC
• Dakota Branam
• Chad Branch
• Brandi Braswell
• Breathe Easy Solutions LLC
• Nancy Lynn Breitweiser, M. D.
• Tonya Renee Brentlinger, FNP-BC
• Andrea Michelle Brewer, NP
• Cayla B. Brewer, N.P.

• Optometrist in Terre Haute, IN
• Providers in Terre Haute, IN by specialty
• Optometrist in Indiana

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.