Pamela Sue Kimmel, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG001348 Issued in PA

Practice address

1091 Mill Creek Rd
Allentown, PA 18106

Phone

(610) 530-1519

Fax

(610) 530-1525

NPI assigned

Nov 10, 2006

Last updated

Jul 18, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 1995

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468800000000",
    "number": "1609947001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1977 STRATHMORE DR",
            "city": "MACUNGIE",
            "state": "PA",
            "postal_code": "180628227",
            "telephone_number": "484-788-8740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1091 MILL CREEK RD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "18106",
            "telephone_number": "610-530-1519",
            "fax_number": "610-530-1525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMMEL",
        "first_name": "PAMELA",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-10",
        "last_updated": "2016-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01922244",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jungsoo Kim, MD
• Susan Kim, MD
• Wi Jin Kim, MD
• Katelin Kimler, PHARMD
• Deborah N Kimmel, MD
• Gail A. Kimmerle, CRNA
• Michelle Kinbrook, M.D.
• Kirsten Elizabeth Kinch
• Karen King
• Kevin Knox King, D.O.

• Optometrist in Allentown, PA
• Providers in Allentown, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.