Lynde Harrison Kimball, O.D.

Primary specialty

Vision Therapy OptometristTaxonomy code 152WV0400X

License

030-0000113 Issued in VT

Practice address

1222 Putney Rd
Brattleboro, VT 05301-9062

Phone

(802) 254-6900

Fax

(802) 254-7610

NPI assigned

Aug 22, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

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.

• L. H. Kimball, LLC

  • Optometrist
  • Brattleboro, VT
  • NPI 1104158997
  Authorized official Same address or phone

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871609727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8427",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053048427",
            "telephone_number": "802-254-6900",
            "fax_number": "802-254-7610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 PUTNEY RD",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053019062",
            "telephone_number": "802-254-6900",
            "fax_number": "802-254-7610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBALL",
        "first_name": "LYNDE",
        "middle_name": "HARRISON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "VT",
            "license": "030-0000113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FED. ID #",
            "identifier": "03-0298152",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7910",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "KIMB 077-6175",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Kierstead, LPN
• Heather Marie Kierstead, CNM, WHNP
• Patricia Mary Kijak, APRN
• Mark J Kilgallon, LICSW
• Killy Bascom, Licsw, PLLC (Village Couseling Associates)
• Michael Damon Kindopp, P.T.
• Susan Beth Kinnersley, LICSW
• Nicole M Kirby, LCMHC
• Elizabeth Yvonne Knight, PA-C
• William Knorr, MD

• Vision Therapy Optometrist in Brattleboro, VT
• Providers in Brattleboro, VT by specialty
• Vision Therapy Optometrist in Vermont

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.