Kimberly C. Bertrand, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

6428TG Issued in TX

Practice address

21502 Merchants Way
Katy, TX 77449-2512

Phone

(281) 579-6777

Fax

(281) 578-6534

NPI assigned

Mar 26, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Eyeworks at West 7TH

  • Optometrist
  • Fort Worth, TX
  • NPI 1770025892
  Medicare reassignment NPD
• The Eye Group of Texas LLC

  • Optometrist
  • Southlake, TX
  • NPI 1720026719
  Medicare reassignment NPD
• Katy Internal Medicine Associates, L.L.P.

  • Internal Medicine Physician
  • Katy, TX
  • NPI 1699785444
  NPD
• Clear Lake Eye Center LLP

  • Optometrist
  • Houston, TX
  • NPI 1255338612
  NPD (past)
• The Houston Eye Center, P a

  • Optometrist
  • Houston, TX
  • NPI 1528187432
  NPD (past)

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474416000000",
    "number": "1497873038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21502 MERCHANTS WAY",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774492512",
            "telephone_number": "281-579-6777",
            "fax_number": "281-578-6534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21502 MERCHANTS WAY",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774492512",
            "telephone_number": "281-579-6777",
            "fax_number": "281-578-6534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTRAND",
        "first_name": "KIMBERLY",
        "middle_name": "C.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2016-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6428T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6428TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "186383901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leena Berriche, DDS, MSD
• Allison Berry, OTR
• Clintara Berry
• Bryan S Berteaux, DMD
• Ann Marie Bertles, MD
• Divyesh Besherdas
• Bespoke Adaptive Life
• Bespoke Therapy LLC
• Best Fit Psychology PLLC
• Best Surgical Services

• All providers in Katy, TX
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.