Individual provider Active NPI

Kimberly Murray, OD

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1699361915
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
009289 Issued in NY
Practice address
398 Bridge St
Brooklyn, NY 11201-5210
Phone
(718) 865-8159
NPI assigned
Dec 21, 2020
Last updated
Mar 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 009289 NY Primary

Addresses

Primary practice location

398 Bridge St
Brooklyn, NY 11201-5210

Mailing address

398 Bridge St
Brooklyn, NY 11201-5210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20210614001443 NY Practitioner - Optometry 6305246323 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Tabor Medical PC Optometrist CurrentSince Jun 16, 2026 Accepting new patients
Visual Optometry PLLC Optometrist CurrentSince Sep 11, 2025 Accepting new patients
Ny Ophthalmology and Medical Associates PLLC PastSince Jan 16, 2024 Accepting new patients
Doral Pharmacy LLC PastSince Sep 1, 2024 Accepting new patients

Locations

1435 64th St
Brooklyn, NY 11219

6326 New Utrecht Ave
Brooklyn, NY 11219
Phone (212) 739-1799

Organizations & group practices 4

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": "1608508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1699361915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "398 BRIDGE ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "398 BRIDGE ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015210",
            "telephone_number": "718-865-8159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "KIMBERLY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-21",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.