Individual provider Active NPI

Aja Leigh Kimrey, O.D.

  • Optometrist
  • Middleton, WI
National Provider Identifier
1669853701
Registry record updated Jun 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3377-35 Issued in WI
Practice address
8406 Old Sauk Rd
Middleton, WI 53562-4367
Phone
(608) 833-7256
Fax
(608) 833-0118
NPI assigned
Jun 15, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3377-35 WI Primary

Addresses

Primary practice location

8406 Old Sauk Rd
Middleton, WI 53562-4367

Mailing address

8406 Old Sauk Rd
Middleton, WI 53562-4367
Phone (608) 833-7256

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20150622001435 WI Practitioner - Optometry 5799096442 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Isthmus Eye Care SCGroup PAC ID 9032011002, 8 clinicians

Practice addresses (Care Compare)

7601 University Ave
Suite 102
Middleton, WI 53562-5413
Phone (608) 831-3366

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
University of South Alabama Health Care Authority PastSince Mar 1, 2017 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: aja.kimrey@direct.revolutionehr.com

Organizations & group practices 2

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": "1434326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434326400000",
    "number": "1669853701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8406 OLD SAUK RD",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535624367",
            "telephone_number": "608-833-7256",
            "fax_number": "608-833-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8406 OLD SAUK RD",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535624367",
            "telephone_number": "608-833-7256",
            "fax_number": "608-833-0118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMREY",
        "first_name": "AJA",
        "middle_name": "LEIGH",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-15",
        "last_updated": "2015-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3377-35",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleton, WI

Sources for this page

Verify at the official NPI Registry.