Active NPI
Kimberly Ann Butka, O.D.
- Optometrist
- West Hills, CA
National Provider Identifier
1558775403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 14953
- Practice address
- 6433 Fallbrook Ave
West Hills, CA 91307-3543 - Phone
- (818) 703-1410
- NPI assigned
- Jun 18, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | 14953 | CA | Primary |
Addresses
Primary practice location
6433 Fallbrook Ave
West Hills, CA 91307-3543
Mailing address
14335 Burbank Blvd
Apt 19
Sherman Oaks, CA 91401-4801
Phone (734) 716-8550
Other names 1
- Kimberly Ann Reich
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caroline Yokota, O.D., a Professional Corporation | Past | Accepting new patients |
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.
-
- Clinic/Center
- Northridge, CA
- NPI 1477003911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458259200000",
"number": "1558775403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14335 BURBANK BLVD",
"address_2": "APT 19",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914014801",
"telephone_number": "734-716-8550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6433 FALLBROOK AVE",
"city": "WEST HILLS",
"state": "CA",
"postal_code": "913073543",
"telephone_number": "818-703-1410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTKA",
"first_name": "KIMBERLY",
"middle_name": "ANN",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-18",
"last_updated": "2016-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "14953",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIMBERLY",
"last_name": "REICH",
"middle_name": "ANN",
"credential": "O.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in West Hills, CA
- Bruce a Jacobson M D a Professional Corporation
- Bruce Rolston (California Surgery Center)
- Brandon Bruehl, PT, DPT
- Margarita Buchinskaya, PHARMD
- Susan E Burger, F.N.P
- C/V ENT Surgical Group
- Jessica Cahn, LCSW
- Loren E. Caira, M.D.
- Randall A Caldron, MD
- California Back and Pain Specialists, a Medical Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.