William Freese Kimmer, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2808 Issued in TN

Practice address

2196 Emporium Dr
Jackson, TN 38305-6004

Phone

(731) 394-5874

NPI assigned

Jun 27, 2008

Last updated

Nov 17, 2025By the provider in NPPES

Sex

Male

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 TN

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

Southern College of Optometry, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1487816781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2196 EMPORIUM DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383056004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2196 EMPORIUM DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383056004",
            "telephone_number": "731-394-5874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMMER",
        "first_name": "WILLIAM",
        "middle_name": "FREESE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-27",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina D Kerr, LPC-MHSP, NCC,MAC,AS
• Holley E Ketcham, B.S.
• Hannah Marie Keymon, FNP
• David Kibbler, M.A.
• Olivia Kiersey, AU.D
• Kimberly Ann Kindle, PTA
• Amy Renee' King, OTR/L
• Emily King, MS
• Ericka King
• Kristin King, OD

• Optometrist in Jackson, TN
• Providers in Jackson, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.