Individual provider Active NPI

Kimberly Renee Riggs, O.D.

  • Optometrist
  • Ligonier, PA
National Provider Identifier
1558322727
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000645 Issued in PA
Practice address
283 Ross Mountain Park Rd
Ligonier, PA 15658-2628
Phone
(724) 238-8694
NPI assigned
Mar 29, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000645 PA Primary

Addresses

Primary practice location

283 Ross Mountain Park Rd
Ligonier, PA 15658-2628

Mailing address

283 Ross Mountain Park Rd
Ligonier, PA 15658-2628
Phone (724) 238-8694

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20070219000752 PA Practitioner - Optometry 2769584911 Practice locations: Ligonier, PA; Somerset, PA; Johnstown, PA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

110 Revco Rd
Somerset, PA 15501-7726
Phone (814) 443-6508

207 E Main St
Ligonier, PA 15658-1317
Phone (724) 238-8188

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG000645PAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558322727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "283 ROSS MOUNTAIN PARK RD",
            "city": "LIGONIER",
            "state": "PA",
            "postal_code": "156582628",
            "telephone_number": "724-238-8694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "283 ROSS MOUNTAIN PARK RD",
            "city": "LIGONIER",
            "state": "PA",
            "postal_code": "156582628",
            "telephone_number": "724-238-8694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIGGS",
        "first_name": "KIMBERLY",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ligonier, PA

Sources for this page

Verify at the official NPI Registry.