Individual provider Active NPI

Kimberley Anne Linert, OD

  • Vision Therapy Optometrist
  • Cumming, GA
National Provider Identifier
1316074412
Registry record updated Aug 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
001285 Issued in GA
Practice address
2320 Atlanta Hwy
Cumming, GA 30040-6339
Phone
(678) 965-5558
NPI assigned
Feb 27, 2007
Last updated
Aug 4, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vision Therapy Optometrist 152WV0400X 001285 GA Primary

Addresses

Primary practice location

2320 Atlanta Hwy
Cumming, GA 30040-6339

Mailing address

525 Tribble Gap Rd
#1305
Cumming, GA 30028-2937
Phone (678) 965-5558

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040921000631 GA Practitioner - Optometry 9032187760 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1991
Medicare assignment
May accept Medicare assignment
Group practices
Dr Skeete and Associates of North Georgia PCGroup PAC ID 9234403320, 2 clinicians

Practice addresses (Care Compare)

150 Pearl Nix Pkwy
D3A
Gainesville, GA 30501-3548
Phone (770) 287-1623

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1285GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Skeete & Associates of North Georgia, P.C. CurrentSince Oct 20, 2018 Accepting new patients
Kimberley a Linert, Inc PastSince Jan 1, 1990 Accepting new patients
Luxottica of America Inc PastSince Oct 20, 2018 Accepting new patients
Adairsville Eye Associates LLC PastSince Oct 31, 2021 Accepting new patients

Locations

150 Pearl Nix Pkwy
Ste D3A
Gainesville, GA 30501
Phone (770) 287-1623

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407110400000",
    "number": "1316074412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 TRIBBLE GAP RD",
            "address_2": "#1305",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300282937",
            "telephone_number": "678-965-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 ATLANTA HWY",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300406339",
            "telephone_number": "678-965-5558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINERT",
        "first_name": "KIMBERLEY",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2014-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "GA",
            "license": "001285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

Verify at the official NPI Registry.