Kimberly Everingham, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

542 Issued in MT

Practice address

700 W Kent Ave
Missoula, MT 59801-6772

Phone

(406) 541-3804

Fax

(406) 541-1810

NPI assigned

Sep 13, 2005

Last updated

Jul 13, 2026By 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 2

Medicare fee-for-service enrollment

Enrolled in MT

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 California - School of Optometry, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jec LLCGroup PAC ID 3072918044, 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.

• Jec LLC

  dba Beatty Eyes

  • Optometrist
  • Missoula, MT
  • NPI 1780274506
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1841285111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4907",
            "address_2": "700 WEST KENT",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598064907",
            "telephone_number": "406-541-3804",
            "fax_number": "406-541-1810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W KENT AVE",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598016772",
            "telephone_number": "406-541-3804",
            "fax_number": "406-541-1810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVERINGHAM",
        "first_name": "KIMBERLY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MT",
            "license": "542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80722200",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "482469",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy L Everett, CNM
• Skye Kendall Everett, DPT
• Wade A Everett
• Evergreen at Missoula, L.L.C. (Missoula Health and Rehabilitation Center)
• Evergreen at Missoula, L.L.C. (Missoula Health and Rehabilitation Center)
• Evernorth Care Providers - Arizona PC
• Kiley S Eversole
• Every Voice Speech Therapy
• Evolution Services Inc.
• Evolution Services, Inc.

• Optometrist in Missoula, MT
• Providers in Missoula, MT by specialty
• Optometrist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.