Jay Reed Kimberley, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

030-0000209 Issued in VT

Practice address

7 Court St
Montpelier, VT 05602-2856

Phone

(802) 223-3722

NPI assigned

Jul 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VT

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492819200000",
    "number": "1124049606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 COURT ST",
            "address_2": "STE 3",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "056022854",
            "telephone_number": "802-223-3115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 COURT ST",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "056022856",
            "telephone_number": "802-223-3722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBERLEY",
        "first_name": "JAY",
        "middle_name": "REED",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2017-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VT",
            "license": "030-0000209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000-6623",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela Kentish, LIC. AC.
• Rodger S Kessler, PH.D.
• Sayed Shahabodin Khatounabadi, PHARM.D.
• Jada Marie Khosla, M.D.
• Katherine Kilmurry, RN,LCMHC,LADC,CADC
• Joyce Kinstlinger, MA
• Lily Kirschenbaum
• Bert S Klavens, LADC
• Lori Ellen Koblin, LMT
• Nathan Lee Kokernot

• Optometrist in Montpelier, VT
• Providers in Montpelier, VT by specialty
• Optometrist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.