Individual provider Active NPI

Kimberly M Garvey, O.D.

  • Optometrist
  • Hickory Hills, IL
National Provider Identifier
1831571140
Registry record updated May 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046010891 Issued in IL
Practice address
9400 S Roberts Rd
Hickory Hills, IL 60457-2326
Phone
(708) 598-1322
NPI assigned
Jun 23, 2015
Last updated
May 13, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046010891 IL Primary

Addresses

Primary practice location

9400 S Roberts Rd
Hickory Hills, IL 60457-2326

Mailing address

9400 S Roberts Rd
Hickory Hills, IL 60457-2326
Phone (708) 598-1322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20160531002517 IL Practitioner - Optometry 5496045627 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1112 S Washington St
Suite 214
Naperville, IL 60540-7964

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046010891ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Michael S Russell, OD, LLC Optometrist CurrentSince Oct 13, 2022 Accepting new patients
Homer Glen Vision Source LLC Optometrist CurrentSince May 16, 2016 Accepting new patients
John J. Gardner, O.D., P.C. Optometrist CurrentSince May 16, 2016 Accepting new patients
Devito Eye Care, LLC Optometrist PastSince Sep 23, 2024 Accepting new patients

Locations

9400 S Roberts Rd
Hickory Hills, IL 60457
Phone (708) 598-1322

15933 S Bell Rd
Homer Glen, IL 60491
Phone (708) 301-3101

1112 S Washington St
Ste 214
Naperville, IL 60540
Phone (630) 355-6878

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1435017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463097600000",
    "number": "1831571140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9400 S ROBERTS RD",
            "city": "HICKORY HILLS",
            "state": "IL",
            "postal_code": "604572326",
            "telephone_number": "708-598-1322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 S ROBERTS RD",
            "city": "HICKORY HILLS",
            "state": "IL",
            "postal_code": "604572326",
            "telephone_number": "708-598-1322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARVEY",
        "first_name": "KIMBERLY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-23",
        "last_updated": "2016-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory Hills, IL

Sources for this page

Verify at the official NPI Registry.