Kimberly Raye Mitchell, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2376 Issued in AR

Practice address

278 S Broadview St
Suite B-3
Greenbrier, AR 72058

Phone

(501) 843-7511

Fax

(501) 273-0886

NPI assigned

Oct 26, 2005

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

Other names 1

• Kimberly Raye Patterson Former name

Medicare fee-for-service enrollment

Enrolled in AR

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

Southern College of Optometry, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nicholas Sachse OD PLLCGroup PAC ID 7113391202, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Nicholas Sachse OD PLLC

  • Optometrist
  • Conway, AR
  • NPI 1164757662
  Medicare reassignment Care Compare group
• Baker Ambulatory Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Conway, AR
  • NPI 1053301473
  NPD (past)
• Baker Eye Institute

  • Clinic/Center
  • Conway, AR
  • NPI 1891786612
  NPD (past)
• Bill F. Morgan, O.D.

  • Optometrist
  • Cabot, AR
  • NPI 1770753253
  NPD (past)
• Eureka Springs Eyecare Clinic

  • Optometrist
  • Eureka Springs, AR
  • NPI 1528214863
  NPD (past)

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1780674101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "278 S BROADVIEW ST",
            "address_2": "SUITE B-3",
            "city": "GREENBRIER",
            "state": "AR",
            "postal_code": "72058",
            "telephone_number": "501-402-1200",
            "fax_number": "501-273-0886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "278 S BROADVIEW ST",
            "address_2": "SUITE B-3",
            "city": "GREENBRIER",
            "state": "AR",
            "postal_code": "72058",
            "telephone_number": "501-843-7511",
            "fax_number": "501-273-0886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "KIMBERLY",
        "middle_name": "RAYE",
        "name_prefix": "Mrs.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-26",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120426722",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "PATTERSON",
            "middle_name": "RAYE",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ellen C McCrary
• Connor McEntarffer
• Alexa Medlock, APRN
• Cheri Meeks, M.S. OTR/L
• Carrie A Milholland, PHARM.D.
• Spencer Mobbs, DDS
• Ellen Cecile Moore, MD
• John Kevin Moore, PHARMD
• Abigail Morgart, LLM, CPM
• Brittany Michelle Murdoch, COTA/L

• Optometrist in Greenbrier, AR
• Providers in Greenbrier, AR by specialty
• Optometrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; 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.