Kimberly A Carr-Yeates, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3197TX Issued in WA

Practice address

1510 Cooper Point Rd SW
Ste 110
Olympia, WA 98502-5734

Phone

(360) 489-0493

Fax

(360) 943-9424

NPI assigned

Dec 22, 2005

Last updated

Nov 3, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Kimberly Yeates Other name

Medicare fee-for-service enrollment

Enrolled in WA

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

Southern California College of Optometry, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Klickitat County Public Hospital District No 1Group PAC ID 0648164269, 46 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.

• Klickitat County Public Hospital District No 1

  dba KVH Family Medicine

  • Clinic/Center
  • Goldendale, WA
  • NPI 1467530915
  Medicare reassignment Care Compare group NPD
• Klickitat County Public Hospital District No 1

  dba Klickitat Valley Hospital

  • Emergency Care Clinic/Center
  • Goldendale, WA
  • NPI 1780754507
  NPD
• Klickitat County Public Hospital District No 1

  dba KVH Family Medicine

  • Rural Health Clinic/Center
  • Goldendale, WA
  • NPI 1407952369
  NPD (past)

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288742400000",
    "number": "1114903937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 COOPER POINT RD SW",
            "address_2": "STE 110",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985025734",
            "telephone_number": "360-489-0493",
            "fax_number": "360-943-9424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 COOPER POINT RD SW",
            "address_2": "STE 110",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985025734",
            "telephone_number": "360-489-0493",
            "fax_number": "360-943-9424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR-YEATES",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-22",
        "last_updated": "2010-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "3197TX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "YEATES",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Toni Carnes
• Nicole Sechrist Carney, DPM
• Alyssa B Carpenter, OT
• Clyde T. Carpenter, M.D.
• Sarah Nicole Carpenter
• Nolan Robert Carr
• Emma Anne Carrillo
• Shaunna Carson
• Jasmine Amy Carter, MSW
• Miranda Carter, PTA

• Optometrist in Olympia, WA
• Providers in Olympia, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2010; 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.