Kimberly J Tucker, O.D.

Primary specialty

Vision Therapy OptometristTaxonomy code 152WV0400X

License

1155 Issued in NE

Practice address

5701 Boboli LN Ste 101
Lincoln, NE 68516-3407

Phone

(402) 423-3937

Fax

(531) 350-5774

NPI assigned

Jul 20, 2006

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 NE

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

Indiana University - School of Optometry, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Local Eyes Custom Optometry

  • Optometrist
  • Lincoln, NE
  • NPI 1972342657
  Medicare reassignment NPD Authorized official
• John H McDougall OD PC

  dba Eyecare Specialties

  • Optometrist
  • Beatrice, NE
  • NPI 1154894608
  Medicare reassignment NPD
• John H McDougall OD PC

  dba EyeCare Specialties

  • Optometrist
  • Lincoln, NE
  • NPI 1245791045
  NPD
• The Express Clinic, LLC

  dba Express Care Clinic

  • Clinic/Center
  • Lincoln, NE
  • NPI 1831252121
  NPD (past)

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1700806999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 BOBOLI LN STE 101",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685163407",
            "telephone_number": "402-423-3937",
            "fax_number": "531-350-5774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 BOBOLI LN STE 101",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685163407",
            "telephone_number": "402-423-3937",
            "fax_number": "531-350-5774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "KIMBERLY",
        "middle_name": "J",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "NE",
            "license": "1155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "36328",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caitlin Eleanor Tucker
• Casandra Tucker, PA-C
• Jacob Tucker, D.C.
• Johnathon Tucker
• Juanita Tucker
• Linda J Tucker, PAC
• Mary Elizabeth Tucker, PA-C
• Patricia M Tucker, CMSW
• Tykiah Tucker
• Antover Tuliao

• Vision Therapy Optometrist in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Vision Therapy Optometrist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.
• 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.