Kimberly A Dobrodziej, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV008144 Issued in NY

Practice address

14 Mountain Ledge
Wilton, NY 12831-1993

Phone

(518) 450-1080

NPI assigned

Aug 14, 2014

Last updated

Nov 14, 2024By 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 4

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Columbia Greene Optometry PLLCGroup PAC ID 6800268871, 3 clinicians

New York Optometry Professional PLLCGroup PAC ID 5890169841, 26 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.83 of 100Reported as group

Quality

92.64

Improvement activities

40

Cost

82.58

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Columbia Greene Optometry PLLC

  • Optometrist
  • Hudson, NY
  • NPI 1528770252
  Medicare reassignment Care Compare group NPD
• New York Optometry Professional PLLC

  • Optometrist
  • Sidney, NY
  • NPI 1598470544
  Medicare reassignment Care Compare group NPD
• Family Vision Care Ophthalmic Dispensing LLC

  dba Family Vision Care Center

  • Optometrist
  • Saratoga Springs, NY
  • NPI 1053335695
  Medicare reassignment NPD
• Zieker Eye Ophthalmology, P.C.

  • Ophthalmologic Surgery Clinic/Center
  • Wilton, NY
  • NPI 1346543147
  Medicare reassignment NPD
• Old Saratoga Optometry & Ophthalmic Dispensing, PLLC

  dba Old Saratoga Eyecare

  • Optometrist
  • Greenwich, NY
  • NPI 1275720781
  NPD
• Old Saratoga Optometry & Ophthalmic Dispensing, PLLC

  dba Old Saratoga Eyecare

  • Eyewear Supplier
  • Greenwich, NY
  • NPI 1437520699
  NPD
• Sacco-Brown Optometry P. C.

  dba DBA Family Eyecare Center

  • Durable Medical Equipment & Medical Supplies
  • Hudson, NY
  • NPI 1528245248
  NPD
• Eyestudiony

  • Optometrist
  • Queensbury, NY
  • NPI 1922939172
  NPD (past)

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1083013106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 MOUNTAIN LEDGE",
            "city": "WILTON",
            "state": "NY",
            "postal_code": "128311993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 MOUNTAIN LEDGE",
            "city": "WILTON",
            "state": "NY",
            "postal_code": "128311993",
            "telephone_number": "518-450-1080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "658 Malta Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Malta",
            "state": "NY",
            "postal_code": "120204105",
            "country_code": "US",
            "telephone_number": "518-580-0553",
            "fax_number": "518-580-0557",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "155 Wolf Rd Ste 7",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122051159",
            "country_code": "US",
            "telephone_number": "518-438-8600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 W Main St",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "NY",
            "postal_code": "128161168",
            "country_code": "US",
            "telephone_number": "518-677-5422",
            "fax_number": "518-677-5134",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11 Church St",
            "address_purpose": "LOCATION",
            "city": "Gloversville",
            "state": "NY",
            "postal_code": "120783049",
            "country_code": "US",
            "telephone_number": "518-725-5416",
            "fax_number": "518-725-3811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "206 Lake Ave",
            "address_purpose": "LOCATION",
            "city": "Saratoga Springs",
            "state": "NY",
            "postal_code": "128662627",
            "country_code": "US",
            "telephone_number": "518-584-2620",
            "fax_number": "518-584-3979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOBRODZIEJ",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-14",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008144",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NY",
            "license": "TUV008144",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "NY",
            "license": "TUV008144",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "NY",
            "license": "TUV008144",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cara Lynn Cahill, NP
• Steven D. Clark, RPA-C
• Sophie Paige Collura, MS
• Michael Joseph Crook, M.D.
• CVS Albany LLC (CVS Pharmacy# 03379)
• Richard Dunham, D.M.D.
• Angela Mary Durant, MS, RDN, CDN
• Edmund Francis Fallon
• Paul R Flatley, RPH
• Gary J Frasier II, PT

• Optometrist in Wilton, NY
• Providers in Wilton, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; 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.