Individual provider Active NPI

Kimberly Paris, OD

  • Optometrist
  • Bellingham, WA
National Provider Identifier
1184297301
Registry record updated Jul 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD61180635 Issued in WA
Practice address
2520 James St
Bellingham, WA 98225-3545
Phone
(360) 393-4000
NPI assigned
Jul 24, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OD61180635 WA Primary

Addresses

Primary practice location

2520 James St
Bellingham, WA 98225-3545

Mailing address

2520 James St
Bellingham, WA 98225-3545

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210902002836 WA Practitioner - Optometry 0143626903 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyeco Optometry PSGroup PAC ID 0143286716, 8 clinicians

Practice addresses (Care Compare)

2520 James St
Bellingham, WA 98225-3545
Phone (360) 733-7393

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD61180635WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyeco Optometry PS Optometrist CurrentSince Jul 21, 2021 Accepting new patients
Vision Plus of Barkley PLLC Optometrist CurrentSince Feb 1, 2022 Accepting new patients
Vision Plus Inside Ferndale Haggen Optometrist PastSince Jul 21, 2021 Accepting new patients

Locations

2900 Woburn St
#101
Bellingham, WA 98226
Phone (360) 483-2001

2900 Woburn St
Ste 101
Bellingham, WA 98226
Phone (360) 483-2001

4110 Meridian St
Bellingham, WA 98226
Phone (360) 746-8549

2520 James St
Bellingham, WA 98225
Phone (360) 393-4000

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1627084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627084800000",
    "number": "1184297301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 JAMES ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982253545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 JAMES ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982253545",
            "telephone_number": "360-393-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARIS",
        "first_name": "KIMBERLY",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-24",
        "last_updated": "2021-07-24",
        "certification_date": "2021-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD61180635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.