Individual provider Active NPI

Kimberly Ann Fields, OD

  • Optometrist
  • Fredericksburg, VA
National Provider Identifier
1750320362
Registry record updated Oct 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618000437 Issued in VA
Practice address
625 Warrenton Rd
Ste. 105
Fredericksburg, VA 22406-1010
Phone
(540) 374-1445
Fax
(540) 374-0431
NPI assigned
Jun 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618000437 VA Primary

Addresses

Primary practice location

625 Warrenton Rd
Ste. 105
Fredericksburg, VA 22406-1010

Mailing address

625 Warrenton Rd
Ste. 105
Fredericksburg, VA 22406-1010
Phone (540) 374-1445

Other identifiers 1

IdentifierTypeStateIssuer
010277281MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20060331000237 VA Practitioner - Optometry 0941218044 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fields Family Eye Care, Kimberly a. Fields, OD, PCGroup PAC ID 9133141377, 2 clinicians

Practice addresses (Care Compare)

625 Warrenton Rd
Suite 105
Fredericksburg, VA 22406-7000
Phone (540) 374-1445

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618000437VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Fields Family Eye Care, Kimberly a. Fields, OD, PC Optometrist CurrentSince Apr 19, 2005 Accepting new patients

Locations

625 Warrenton Rd
Ste 105
Fredericksburg, VA 22406
Phone (540) 374-1445

Organizations & group practices 1

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193356800000",
    "number": "1750320362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 WARRENTON RD",
            "address_2": "STE. 105",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224061010",
            "telephone_number": "540-374-1445",
            "fax_number": "540-374-0431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 WARRENTON RD",
            "address_2": "STE. 105",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224061010",
            "telephone_number": "540-374-1445",
            "fax_number": "540-374-0431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIELDS",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2007-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010277281",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.