Christine McKimmie, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TA1647 Issued in MD

Practice address

23191 Three Notch Rd
California, MD 20619-6024

Phone

(301) 863-6080

Fax

(301) 863-9047

NPI assigned

Jan 2, 2007

Last updated

Jul 8, 2007By 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

Medicare fee-for-service enrollment

Enrolled in MD

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

Pennsylvania College of Optometry, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Quality

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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.

• Grasee, Inc.

  dba Pearle Vision

  • Optometrist
  • California, MD
  • NPI 1386998987
  Medicare reassignment NPD Authorized official
• Lenstek LTD. T/a Pearle Vision

  • Exclusive Provider Organization
  • California, MD
  • NPI 1528224052
  NPD (past)

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851458491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "556 WINDMILL DR",
            "city": "SAINT LEONARD",
            "state": "MD",
            "postal_code": "206852565",
            "telephone_number": "410-586-9507",
            "fax_number": "410-586-9507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23191 THREE NOTCH RD",
            "city": "CALIFORNIA",
            "state": "MD",
            "postal_code": "206196024",
            "telephone_number": "301-863-6080",
            "fax_number": "301-863-9047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKIMMIE",
        "first_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA1647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maryland CVS Pharmacy LLC (CVS Pharmacy #16606)
• Maryland CVS Pharmacy, L.L.C. (CVS Pharmacy # 01522)
• Rachel Mavilia
• Erin Louise McCarthy, MS, OTR/L
• Rebecca McKenna
• Medexpress Urgent Care, PC - Maryland (MedExpress Urgent Care - California, Abell House Ln)
• Medstar Medical Group - Southern Maryland LLC (MedStar Shah Medical Group LLC)
• Medstar Medical Group - Southern Maryland LLC (MedStar Shah Medical Group LLC)
• Medstar Medical Group II LLC
• Medstar Medical Group II LLC

• Optometrist in California, MD
• Providers in California, MD by specialty
• Optometrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.