Individual provider Active NPI

Kimberly Ann Butka, O.D.

  • Optometrist
  • West Hills, CA
National Provider Identifier
1558775403
Registry record updated Mar 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14953 Issued in CA
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

Updated by the provider on Mar 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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

OrganizationSpecialtyStatusNew 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.

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

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.

Verify at the official NPI Registry.