Kayla Imber, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT.0004035 Issued in CO

Practice address

1616 15TH St
Greeley, CO 80631-4571

Phone

(970) 352-6688

NPI assigned

Jun 24, 2024

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

Medicare fee-for-service enrollment

Enrolled in CO

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

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: kayla.imberod.p1@direct.welcheye.nextgenshare.com

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.

• Samuel Jeng, M.D., P.C.

  • Ophthalmology Physician
  • Greeley, CO
  • NPI 1821356163
  Medicare reassignment

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1649014523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 15TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806314571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 15TH ST",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806314571",
            "telephone_number": "970-352-6688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMBER",
        "first_name": "KAYLA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0004035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Hyland
• Heather Hyndman
• Sabrina Milan Ibarra, LPN
• Madad Ibrahim
• Rachel Nicole Ickes
• Ashley N Imburgia, PSY.D
• Immersiv Health of Colorado, PLLC (Immersiv Health)
• Infusion IV Therapy LTD (Infusion IV therapy)
• Alexia Morgan Inhulsen, D.C.
• Roberta Inman, BA, CAS

• Optometrist in Greeley, CO
• Providers in Greeley, CO by specialty
• Optometrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.