Kimberley Marie Huseman, O.D.

Individual provider Active NPI Optometrist · Mt Washington, KY

NPI 1851434682 · NPPES record last updated Feb 18, 2011

Key facts

NPI
1851434682
Entity type
Individual (NPI type 1)
Primary specialty
Optometrist 152W00000X
License
1613 DT (KY)
Practice address
10731 Highway 44 E
Mt Washington, KY 40047-7696
Phone
(502) 538-0500
Fax
(502) 589-1556
NPI assigned
Feb 14, 2007
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
1613 DTKYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Associates, PSC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1613 DT KY Yes

Addresses

Primary practice location

10731 Highway 44 E
Mt Washington, KY 40047-7696

Mailing address

1536 Story Ave
Louisville, KY 40206-1738
Phone (502) 589-1500

Other names

  • Dr. Kimberley Marie Spalding Former name

Other providers in Mt Washington, KY

All providers in Mt Washington, KY · Optometrist in Kentucky

Sources for this page

Verify at the official NPI Registry.