Individual provider Active NPI

Kimberly Lynn Rock, OD, MS

  • Optometrist
  • Delaware, OH
National Provider Identifier
1568990919
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6577 Issued in OH
Practice address
25 Northwood Dr
Delaware, OH 43015-1501
Phone
(740) 369-7701
Fax
(740) 369-0021
NPI assigned
May 30, 2017
Last updated
Aug 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6577 OH Primary

Addresses

Primary practice location

25 Northwood Dr
Delaware, OH 43015-1501

Mailing address

25 Northwood Dr
Delaware, OH 43015-1501
Phone (740) 369-7701

Other practice location 1

730 Mount Airyshire Blvd Ste A
Columbus, OH 43235-1364
Phone (614) 880-2020

Other practice location 2

730 Mount Airyshire Blvd Ste B
Columbus, OH 43235-1364
Phone (614) 859-0699

Other names 1

  • Dr. Kimberly Lynn Renner Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20170815001944 OH Practitioner - Optometry 5890067672 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Vision Professionals Delaware LLCGroup PAC ID 2264761089, 3 clinicians

Practice addresses (Care Compare)

25 Northwood Dr
Delaware, OH 43015-1501
Phone (740) 369-7701

690 W Cherry St
Sunbury, OH 43074-8556
Phone (740) 965-4671

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
6577OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Professionals Delaware LLC Optometrist CurrentSince Jan 1, 2020 Accepting new patients
Michelle L. Veneziano, O.D. Inc. Optometrist CurrentSince Jun 7, 2017 Accepting new patients
Ohio Vision Therapy, LLC Current Accepting new patients
Chris a Smiley OD and Associates LLC Optometrist CurrentSince Apr 1, 2022 Accepting new patients
Chris a Smiley OD and Associates LLC Optometrist CurrentSince Apr 1, 2022 Accepting new patients
Chris a Smiley OD and Associates LLC Optometrist Past Accepting new patients

Locations

3025 Noe Bixby Rd
Columbus, OH 43232
Phone (614) 837-3797

730 Mount Airyshire Blvd
Ste A
Columbus, OH 43235
Phone (614) 846-7574

25 Northwood Dr
Delaware, OH 43015
Phone (740) 369-7701

3814 Broadway
Grove City, OH 43123
Phone (614) 766-2006

5121 Forest Dr
Ste B
New Albany, OH 43054
Phone (614) 855-7574

690 W Cherry St
Sunbury, OH 43074
Phone (740) 965-4671

Organizations & group practices 6

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": "1496102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1568990919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 NORTHWOOD DR",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430151501",
            "telephone_number": "740-369-7701",
            "fax_number": "740-369-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 NORTHWOOD DR",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430151501",
            "telephone_number": "740-369-7701",
            "fax_number": "740-369-0021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "730 Mount Airyshire Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432351364",
            "country_code": "US",
            "telephone_number": "614-880-2020",
            "fax_number": "614-846-8577",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "730 Mount Airyshire Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432351364",
            "country_code": "US",
            "telephone_number": "614-859-0699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROCK",
        "first_name": "KIMBERLY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "OD, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-30",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "RENNER",
            "middle_name": "LYNN",
            "prefix": "DR.",
            "credential": "OD, MS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Delaware, OH

Sources for this page

Verify at the official NPI Registry.