Individual provider Active NPI

Kimberlynn Ann Dittemore, O.D.

  • Optometrist
  • Manhattan, KS
National Provider Identifier
1144418583
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2260 Issued in KS
Practice address
3012 Anderson Ave
Manhattan, KS 66503-2809
Phone
(785) 537-1118
Fax
(785) 537-8005
NPI assigned
Oct 11, 2007
Last updated
Jul 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3240T OR
Optometrist 152W00000X 2260 KS Primary

Addresses

Primary practice location

3012 Anderson Ave
Manhattan, KS 66503-2809

Mailing address

65 Division Ave
Eugene, OR 97404-2485
Phone (541) 689-1115

Other practice location 1

65 Division Ave
Suite E
Eugene, OR 97404-2485
Phone (541) 689-1115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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

Enrollment IDStateProvider typePAC IDDetails
I20250729003961 KS Practitioner - Optometry 9830278498 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3012 Anderson Ave
Manhattan, KS 66503-2809
Phone (785) 537-1118

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2260KSMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Price Young Odle & Horsch PA Optometrist CurrentSince Jul 18, 2025 Accepting new patients
DRS Price Young Odle & Horsch PA Optometrist CurrentSince Jul 18, 2025 Accepting new patients
DRS Price Young Odle & Horsch PA Optometrist Past Accepting new patients
The Eye Center LLC Optometrist Past Accepting new patients
DRS Price Young Odle & Horsch PA Optometrist Past Accepting new patients
Jabeka Inc. Optometrist PastSince Dec 30, 2015 Accepting new patients

Locations

1025 W 6th St
Junction City, KS 66441
Phone (785) 223-5777

3012 Anderson Ave
Manhattan, KS 66503
Phone (785) 537-1118

1300 Broadway
Marysville, KS 66508
Phone (785) 562-5111

2525 Market Pl
Salina, KS 67401
Phone (785) 825-0271

1835 NW Topeka Blvd
Topeka, KS 66608
Phone (785) 861-7110

2030 SW Gage Blvd
Topeka, KS 66604
Phone (785) 354-8383

2800 SW Wanamaker Rd
Topeka, KS 66614
Phone (785) 272-0707

3627 SE 29th St
Topeka, KS 66605
Phone (785) 215-8060

4745 NW Hunters Ridge Cir
Topeka, KS 66618
Phone (785) 246-3937

Interoperability endpoints

  • Direct secure messaging: kimberlynndittemore@direct.eyecare-partners.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1144418583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 DIVISION AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974042485",
            "telephone_number": "541-689-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3012 ANDERSON AVE",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665032809",
            "telephone_number": "785-537-1118",
            "fax_number": "785-537-8005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "65 Division Ave",
            "address_2": "Suite E",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974042485",
            "country_code": "US",
            "telephone_number": "541-689-1115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DITTEMORE",
        "first_name": "KIMBERLYNN",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-11",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3240T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "2260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan, KS

Sources for this page

Verify at the official NPI Registry.