Kimberly Helen Watson, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2819 Issued in MN

Practice address

213 W 1St St
Duluth, MN 55802-1985

Phone

(218) 727-1004

Fax

(218) 727-1525

NPI assigned

Jan 9, 2006

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kimberly Helen Kieke Former name

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Optometry

Education

Ohio State University - College of Optometry, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eagan Eye Clinic LLCGroup PAC ID 0345220745, 48 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Eagan Eye Clinic LLC

  • Optometrist
  • Eagan, MN
  • NPI 1477732337
  Medicare reassignment Care Compare group NPD
• Minnesota Optical LLC

  dba dba Pearle Vision

  • Optometrist
  • Elk River, MN
  • NPI 1831303437
  Medicare reassignment NPD
• Eagan Eye Clinic LLC

  • Optometrist
  • Becker, MN
  • NPI 1023615069
  NPD
• Minnesota Optical LLC

  dba Pearle Vision

  • Eyewear Supplier
  • Edina, MN
  • NPI 1962829580
  NPD
• Blustin Optical Center Dba Derin J Van Loon, O.D.

  • Optician
  • Two Harbors, MN
  • NPI 1629137419
  NPD (past)
• Derin J Van Loon OD PA

  dba Blustin Optical Center

  • Optometrist
  • Duluth, MN
  • NPI 1811975931
  NPD (past)

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1295713303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 W 1ST ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021985",
            "telephone_number": "218-727-1004",
            "fax_number": "218-727-1525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 W 1ST ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021985",
            "telephone_number": "218-727-1004",
            "fax_number": "218-727-1525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "KIMBERLY",
        "middle_name": "HELEN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "KIEKE",
            "middle_name": "HELEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hannah Waterman, LICSW
• Waterstone Clinic P.C.
• Amy Lynne Watkins, RN
• Andrea M Watson, MD
• Bailey Laurel Watson, DO
• Nicole Dorothy Watson, MSW, LICSW
• Rachel E Watson, LMT
• Randali Rae Watson
• Sheila Watson, O.T.R./L.
• We Health Clinic, P.a.

• Optometrist in Duluth, MN
• Providers in Duluth, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.