Kimberly Kaye Brandenburg, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TA1144 Issued in MD

Practice address

3331 Hamilton Mill Rd
Ste 1100
Buford, GA 30519-4096

Phone

(770) 271-3500

Fax

(770) 271-0805

NPI assigned

Nov 29, 2006

Last updated

Oct 31, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kimberly Kaye Shorter Former name

Medicare fee-for-service enrollment

Enrolled in GA

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

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.

• Ga Doctors of Optometry LLC

  • Optometrist
  • Lithonia, GA
  • NPI 1174105936
  Medicare reassignment NPD
• Low Country Eye Associates, PC

  dba Low Country Eye Care

  • Optometrist
  • Pooler, GA
  • NPI 1225173578
  Medicare reassignment NPD
• Ga Doctors of Optometry LLC

  • Eyewear Supplier
  • Columbus, GA
  • NPI 1013599745

  Optometrist

  NPD
• Myeyedr Optometry of Georgia, LLC

  • Optometrist
  • Buford, GA
  • NPI 1427999838
  NPD (past)
• Southcoast Medical Group, LLC

  • Family Medicine Physician
  • Savannah, GA
  • NPI 1467451922
  NPD (past)

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383177600000",
    "number": "1316014715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1762 COUNTRY WOOD DR",
            "city": "HOSCHTON",
            "state": "GA",
            "postal_code": "305481791",
            "telephone_number": "301-330-4265",
            "fax_number": "301-977-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3331 HAMILTON MILL RD",
            "address_2": "STE 1100",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305194096",
            "telephone_number": "770-271-3500",
            "fax_number": "770-271-0805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDENBURG",
        "first_name": "KIMBERLY",
        "middle_name": "KAYE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2013-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA1144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "916573",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "SHORTER",
            "middle_name": "KAYE",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• William Kyle Boone, O.D.
• Alonzo Meisenzahl Borja, D.C.
• Bose Hospice Care, LLC
• Sara Renee Boyd
• Nenia Bradley
• Stephanie Branom, LCSW
• Braselton Endoscopy Center, LLC
• Lindsey Brewer, BCBA
• Shelia D Brewer, RPH
• Diane Bridges

• Optometrist in Buford, GA
• Providers in Buford, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.