Individual provider Active NPI

Kimberly E Pearl, O.D.

  • Optometrist
  • Lawrence, KS
National Provider Identifier
1881786978
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1620 Issued in KS
Practice address
1019 Massachusetts St
Lawrence, KS 66044-2923
Phone
(785) 843-3844
NPI assigned
Sep 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1620 KS Primary

Addresses

Primary practice location

1019 Massachusetts St
Lawrence, KS 66044-2923

Mailing address

6120 Johnson Dr
Mission, KS 66202-3333
Phone (913) 262-3937

Other practice location 1

5100 Bob Billings Pkwy Ste 100
Lawrence, KS 66049-4094
Phone (785) 841-2020

Other practice location 2

2144 SW 36th St
Topeka, KS 66611-2554
Phone (785) 266-1010

Other practice location 3

6120 Johnson Dr
Mission, KS 66202-3333
Phone (913) 262-3937

Other identifiers 1

IdentifierTypeStateIssuer
912680MedicaidKS

Other names 1

  • Dr. Kimberly E Hackworth Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20090803000177 KS Practitioner - Optometry 5496808867 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pingel Family Eyecare, LLCGroup PAC ID 4385811306, 3 clinicians
Atteberry Eye Centers LLCGroup PAC ID 5496871824, 9 clinicians

Practice addresses (Care Compare)

1019 Massachusetts St
Lawrence, KS 66044-2923
Phone (785) 843-3844

2144 SW 36TH St
Topeka, KS 66611-2554
Phone (785) 266-1010

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery20

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1620KSMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Brent T. Crandon & Dr. Elizabeth J. Crandon Optometrists PA Optometrist CurrentSince Jan 1, 2026 Accepting new patients
Atteberry Eye Centers LLC Optometrist CurrentSince Jan 1, 2022 Accepting new patients
Pingel Family Eyecare, LLC Optometrist CurrentSince Jan 1, 2026 Accepting new patients
Atteberry Eye Centers LLC Optometrist CurrentSince Jan 1, 2022 Accepting new patients

Locations

1019 Massachusetts St
Lawrence, KS 66044
Phone (785) 843-0507

5100 Bob Billings Pkwy
Ste 100
Lawrence, KS 66049
Phone (785) 841-2020

6120 Johnson Dr
Mission, KS 66202
Phone (913) 262-3937

2144 SW 36th St
Topeka, KS 66611
Phone (785) 266-1010

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1881786978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6120 JOHNSON DR",
            "city": "MISSION",
            "state": "KS",
            "postal_code": "662023333",
            "telephone_number": "913-262-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 MASSACHUSETTS ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660442923",
            "telephone_number": "785-843-3844"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5100 Bob Billings Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lawrence",
            "state": "KS",
            "postal_code": "660494094",
            "country_code": "US",
            "telephone_number": "785-841-2020",
            "fax_number": "785-841-0420",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2144 SW 36th St",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666112554",
            "country_code": "US",
            "telephone_number": "785-266-1010",
            "fax_number": "785-266-5312",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6120 Johnson Dr",
            "address_purpose": "LOCATION",
            "city": "Mission",
            "state": "KS",
            "postal_code": "662023333",
            "country_code": "US",
            "telephone_number": "913-262-3937",
            "fax_number": "913-262-3942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEARL",
        "first_name": "KIMBERLY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "912680",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "HACKWORTH",
            "middle_name": "E",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lawrence, KS

Sources for this page

Verify at the official NPI Registry.