Kimberly Nolan Budri, OD
Individual provider Active NPI Optometrist · Easthampton, MA
NPI 1194972208 · NPPES record last updated Dec 24, 2024
Key facts
- NPI
- 1194972208
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 4692 (MA)
- Practice address
- 250 Northampton St Ste a
Easthampton, MA 01027-1198 - Phone
- (413) 527-9284
- Fax
- (413) 527-8181
- NPI assigned
- Aug 20, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- New England College of Optometry, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Eric David Dostal OD LLC
Practice addresses (Care Compare)
250 Northampton St
Easthampton, MA 01027-1197
Phone (413) 527-9284
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090901000031 | MA | Practitioner - Optometry | 1456406289 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4692 | MA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eric David Dostal O.D. LLC | Optometrist | Current |
Accepting new patients |
Locations
250 Northampton St
Ste A
Easthampton, MA 01027
Phone (413) 527-9284
250 Northampton St
Easthampton, MA 01027
Phone (413) 527-9284
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4692 | MA | Yes |
Addresses
Primary practice location
250 Northampton St Ste a
Easthampton, MA 01027-1198
Mailing address
250 Northampton St Ste a
Easthampton, MA 01027-1198
Phone (413) 527-9284
Other names
- Kimberly Nolan
Other providers in Easthampton, MA
- Brooke G. Brindle
- Amanda Haley Brock
- Melissa Beth Brousseau
- Adam Brown
- Kani Brown
- Chris Buhl
- Robert Michael Buoniconti
- Nicole Buri
- Julia Burton
- Christine M Bussler
All providers in Easthampton, MA · Optometrist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 24, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.