Kimberly Ann Raymond, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1227 Issued in NE

Practice address

3923 S 48TH St
Lincoln, NE 68506-4318

Phone

(402) 488-3106

Fax

(402) 488-3329

NPI assigned

Mar 27, 2007

Last updated

May 4, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

University of Houston - College of Optometry, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optical Gallery, LLCGroup PAC ID 8820168867, 2 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.

• Optical Gallery, LLC

  • Eyewear Supplier
  • Lincoln, NE
  • NPI 1306019062
  Medicare reassignment Care Compare group NPD
• Optical Gallery LLC

  dba Optical Gallery

  • Eyewear Supplier
  • Lincoln, NE
  • NPI 1952544215
  NPD Authorized official

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241395200000",
    "number": "1760501456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3923 S 48TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685064318",
            "telephone_number": "402-488-3106",
            "fax_number": "402-488-3329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3923 S 48TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685064318",
            "telephone_number": "402-488-3106",
            "fax_number": "402-488-3329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYMOND",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2009-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "1306019062",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025701100",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE WPS",
            "identifier": "1306019062",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paula Ray, PSY.D
• Stacie Ray, M.S. CCC-A
• Fernando Raya
• Martha Raya
• Rayebrook Behavioral Health and Wellness LLC
• Rahul S Razdan, M.D.
• Zahraa Ali Razooqi
• Michael Rea
• Kelly Ready
• Carolyn Reagan

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2009; 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.