Kimberly Lynne Garrison, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901003930 Issued in MI

Practice address

4067 E Court St Ste 10
Burton, MI 48509-2509

Phone

(810) 715-2020

Fax

(810) 715-2021

NPI assigned

Oct 27, 2006

Last updated

Feb 4, 2022By 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 identifiers 1

Other names 1

• Kimberly Lynne Phipps Former name

Medicare fee-for-service enrollment

Enrolled in MI

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, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optical Management Services LLCGroup PAC ID 3375765803, 6 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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.

• Optical Management Services, LLC

  dba Riverfront Optical Eyecare

  • Optometrist
  • Saginaw, MI
  • NPI 1720481484
  Medicare reassignment Care Compare group NPD
• Optical Management Services, LLC

  dba Riverfront Eyecare

  • Optometrist
  • Shelby Township, MI
  • NPI 1255870960
  NPD
• Optical Management Services, LLC

  dba Primary Eye Care

  • Optometrist
  • Sterling Heights, MI
  • NPI 1417137936
  NPD
• West Point Optical Group

  • Optometrist
  • Rochester Hills, MI
  • NPI 1770953390
  NPD (past)

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1427134063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4067 E COURT ST STE 10",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485092509",
            "telephone_number": "810-715-2020",
            "fax_number": "810-715-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4067 E COURT ST STE 10",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485092509",
            "telephone_number": "810-715-2020",
            "fax_number": "810-715-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRISON",
        "first_name": "KIMBERLY",
        "middle_name": "LYNNE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4801378",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "PHIPPS",
            "middle_name": "LYNNE",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• G.S.M., Inc. - East
• Thomas Joseph Gallagher, RPH
• Lorna Marguerite Gallogly, NP
• Adrea L Gardner, DPT
• Javonna Gardner
• General Optical Company
• Genesee County Health Department
• Genesee ENT Associates PC
• Genesee ENT Associates, PC
• Genesee Family Care PC

• Optometrist in Burton, MI
• Providers in Burton, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; 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.