Individual provider Active NPI

Kristina R Reimer, O.D.

  • Optometrist
  • Garden City, KS
National Provider Identifier
1184715823
Registry record updated Dec 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1493 Issued in KS
Practice address
410 N Campus Dr
Garden City, KS 67846-6134
Phone
(620) 275-2222
Fax
(620) 275-0829
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1493 KS Primary

Addresses

Primary practice location

410 N Campus Dr
Garden City, KS 67846-6134

Mailing address

410 Campus Dr
Garden City, KS 67846-6134
Phone (620) 275-2222

Other identifiers 1

IdentifierTypeStateIssuer
100428610BMedicaidKS

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
I20050531000780 KS Practitioner - Optometry 8022050061 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

410 N Campus Dr
Garden City, KS 67846-6134
Phone (620) 275-2222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1493KSMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Matthew Johannes OD, LLC Optometrist CurrentSince Sep 18, 2019 Accepting new patients
Kris Reimer OD, LLC Optometrist CurrentSince Mar 21, 2011 Accepting new patients

Locations

410 N Campus Dr
Garden City, KS 67846
Phone (620) 275-2222

Organizations & group practices 2

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576540800000",
    "number": "1184715823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 CAMPUS DR",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678466134",
            "telephone_number": "620-275-2222",
            "fax_number": "620-275-0829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 N CAMPUS DR",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678466134",
            "telephone_number": "620-275-2222",
            "fax_number": "620-275-0829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIMER",
        "first_name": "KRISTINA",
        "middle_name": "R",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100428610B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, KS

Sources for this page

Verify at the official NPI Registry.