Active NPI
Kimberly Ann Riordan, O.D.
- Optometrist
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC4551
- Practice address
- 1325 San Marco Blvd
Suite 900
Jacksonville, FL 32207-8568 - Phone
- (904) 346-3506
- Fax
- (904) 733-2532
- NPI assigned
- Jun 30, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC4551 | FL | Primary |
Addresses
Primary practice location
1325 San Marco Blvd
Suite 900
Jacksonville, FL 32207-8568
Mailing address
11945 San Jose Blvd Ste 300
Jacksonville, FL 32223-1627
Phone (904) 396-1725
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1908J | Other | FL | BCBS-FL |
| DP944W | Other | FL | MEDICARE |
| P01386714 | Other | FL | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1325 San Marco Blvd
Suite 900
Jacksonville, FL 32207-8571
Phone (904) 346-3506
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.79 of 100
- Quality
- 64.42
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.88
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Florida Surgeons, PA | Current | Accepting new patients | |
| North Florida Surgeons, PA | Current | Accepting new patients |
Locations
1325 San Marco Blvd
Ste 900
Jacksonville, FL 32207
Phone (904) 346-3506
11945 San Jose Blvd
Ste 102
Jacksonville, FL 32223
Phone (904) 268-3937
11945 San Jose Blvd
Ste 300
Jacksonville, FL 32223
Interoperability endpoints
- kimberly.riordan.1@9109.direct.athenahealth.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgery Physician
- Jacksonville, FL
- NPI 1912953290
-
- Orthopaedic Surgery Physician
- Gulf Breeze, FL
- NPI 1871442053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653609600000",
"number": "1427286228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11945 SAN JOSE BLVD STE 300",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322231627",
"telephone_number": "904-396-1725",
"fax_number": "904-396-4893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1325 SAN MARCO BLVD",
"address_2": "SUITE 900",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322078568",
"telephone_number": "904-346-3506",
"fax_number": "904-733-2532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIORDAN",
"first_name": "KIMBERLY",
"middle_name": "ANN",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-30",
"last_updated": "2022-05-27",
"certification_date": "2022-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC4551",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS-FL",
"identifier": "1908J",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "DP944W",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01386714",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.