Individual provider Active NPI

Kimberlie K Hodne, OD

  • Optometrist
  • Dubuque, IA
National Provider Identifier
1548946114
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
120541 Issued in IA
Practice address
3343 Center Grove Dr Ste D
Dubuque, IA 52003-5264
Phone
(563) 588-2093
Fax
(563) 588-0590
NPI assigned
Jun 27, 2023
Last updated
Jun 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 120541 IA Primary

Addresses

Primary practice location

3343 Center Grove Dr Ste D
Dubuque, IA 52003-5264

Mailing address

3343 Center Grove Dr Ste D
Dubuque, IA 52003-5264
Phone (563) 588-2093

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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

Enrollment IDStateProvider typePAC IDDetails
I20240308000166 IA Practitioner - Optometry 9638513294 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dubuque Family Eye Care PCGroup PAC ID 1052559267, 2 clinicians

Practice addresses (Care Compare)

3343 Ctr Grove Dr D
Dubuque, IA 52003-5264
Phone (563) 588-2093

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dubuque Family Eye Care PC Optometrist CurrentSince Dec 30, 2023 Accepting new patients
Dubuque Optometric, P.C. Optometrist PastSince Jul 2, 2023 Accepting new patients

Locations

3343 Center Grove Dr
Ste D
Dubuque, IA 52003
Phone (563) 588-2093

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1548946114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3343 CENTER GROVE DR STE D",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520035264",
            "telephone_number": "563-588-2093",
            "fax_number": "563-588-0590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3343 CENTER GROVE DR STE D",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520035264",
            "telephone_number": "563-588-2093",
            "fax_number": "563-588-0590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODNE",
        "first_name": "KIMBERLIE",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-27",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "120541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dubuque, IA

Sources for this page

Verify at the official NPI Registry.