Leigh B Kimball, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4825T Issued in TX

Practice address

4105 Dowlen Rd Ste B
Beaumont, TX 77706-6871

Phone

(409) 899-9999

Fax

(409) 892-6587

NPI assigned

Aug 16, 2006

Last updated

Mar 7, 2023By 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 TX

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

University of Houston - College of Optometry, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Blount Kimball Medical Optometry PAGroup PAC ID 5597803130, 6 clinicians

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Blount Kimball Medical Optometry PA

  dba Texas State Optical Dowlen Road

  • Optometrist
  • Beaumont, TX
  • NPI 1194897827
  Medicare reassignment Care Compare group NPD Authorized official
• Blount Kimball Medical Optometry PA

  dba Texas State Optical Silsbee

  • Optometrist
  • Silsbee, TX
  • NPI 1205909884
  NPD Authorized official

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1740393602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4105 DOWLEN RD STE B",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777066871",
            "telephone_number": "409-899-9999",
            "fax_number": "409-892-6587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4105 DOWLEN RD STE B",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777066871",
            "telephone_number": "409-899-9999",
            "fax_number": "409-892-6587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBALL",
        "first_name": "LEIGH",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4825T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "4825T",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zeyad Medhat Kholeif, MBBCH
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• Tatum J Kieschnick, DC
• Tinsae T Kifle
• Laura Kimball, LPC
• Lacey Gail Kinard, OTR
• King LTC LLC
• Ashley Rene King
• Gloria Jean King, DDS
• Heather King, SLPA

• Optometrist in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.