Kimberly Sue Owens, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

18002577 Issued in IN

Practice address

13230 Harrell Pkwy Ste 300
Noblesville, IN 46060-3319

Phone

(317) 770-1633

Fax

(317) 770-0932

NPI assigned

Oct 18, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1508947029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6113 SAW MILL DR",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460626559",
            "telephone_number": "317-770-1633",
            "fax_number": "317-770-0932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13230 HARRELL PKWY STE 300",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460603319",
            "telephone_number": "317-770-1633",
            "fax_number": "317-770-0932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "KIMBERLY",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "002533",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Parson Otis
• Otolaryngology Associates LLC
• Our Daughters Caring Hands LLC
• Anne Overdorf
• Kayla Owens
• Jaime O Owings, OTR
• Aaron Michael Oxenrider, D.C.
• Robert Michael Page, DDS, MS, PC
• Pala Chiropractic, L.L.C.
• Shawn Michael Pala, D.C.

• Optometrist in Noblesville, IN
• Providers in Noblesville, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.