Active NPI
Kimberly Rosenthal Tinge, O.D.
- Optometrist
- Highland, IL
National Provider Identifier
1508893264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046008913
- Practice address
- 823 9TH St
Highland, IL 62249-1521 - Phone
- (618) 654-9848
- Fax
- (618) 654-5200
- NPI assigned
- Jun 27, 2006
- 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 | 046008913 | IL | Primary |
Addresses
Primary practice location
823 9TH St
Highland, IL 62249-1521
Mailing address
132 Ofallon Troy Rd
O Fallon, IL 62269-6702
Phone (618) 628-4446
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 046008913 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- 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
- Pacific University - College of Optometry, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
823 9TH St
Highland, IL 62249-1521
Phone (618) 654-9848
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 19 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rosenthal Optometric Association LTD | Optometrist | Current | Accepting new patients |
Locations
823 9th St
Highland, IL 62249
Phone (618) 654-2471
Organizations & group practices 1
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.
-
- Optometrist
- Highland, IL
- NPI 1386670099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274832000000",
"number": "1508893264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "132 OFALLON TROY RD",
"city": "O FALLON",
"state": "IL",
"postal_code": "622696702",
"telephone_number": "618-628-4446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "823 9TH ST",
"city": "HIGHLAND",
"state": "IL",
"postal_code": "622491521",
"telephone_number": "618-654-9848",
"fax_number": "618-654-5200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TINGE",
"first_name": "KIMBERLY",
"middle_name": "ROSENTHAL",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-27",
"last_updated": "2010-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046008913",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "046008913",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Highland, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2010; 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.