Tracy Kimmelman, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC3812 Issued in FL

Practice address

3020 N Military TRL Ste 150
Boca Raton, FL 33431-1806

Phone

(561) 981-8400

Fax

(561) 981-8460

NPI assigned

Jan 30, 2015

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

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gregory R Cohen MD PAGroup PAC ID 3971696261, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: takimmelman@cohenlaser.direct.eyemdemr.com

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.

• Joshua D Cohen MD PA

  • Ophthalmology Physician
  • Boca Raton, FL
  • NPI 1396948352
  Medicare reassignment Care Compare group NPD
• Aaron J. Evans O.D. P.a.

  • Optometrist
  • Boca Raton, FL
  • NPI 1689904575
  Medicare reassignment NPD
• Tamara L. Maule, O.D., P.a.

  • Optometrist
  • Boca Raton, FL
  • NPI 1710260427
  NPD (past)

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

{
    "created_epoch": "1422576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1447640370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 N MILITARY TRL STE 150",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334311806",
            "telephone_number": "561-981-8400",
            "fax_number": "561-981-8460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 N MILITARY TRL STE 150",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334311806",
            "telephone_number": "561-981-8400",
            "fax_number": "561-981-8460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8903 Glades Rd",
            "address_2": "Ste A1",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334344074",
            "country_code": "US",
            "telephone_number": "561-477-3524",
            "fax_number": "561-477-3576",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIMMELMAN",
        "first_name": "TRACY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-30",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haeun Kim, OD
• Trevor Kimball, DPT
• Kimberlee a Trinkofsky LMHC, PA
• Debra Kimmel, MSW
• Richard D Kimmel, DO
• Neetu Kimothi
• Kind Ways ABA LLC
• Kinesis Inc
• Elizabeth King, OT
• Gabrielle King, MOT

• Optometrist in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; 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.