Jory T Kimball, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5922926-9934 Issued in UT

Practice address

8806 Redwood Rd Ste 101
West Jordan, UT 84088-5194

Phone

(801) 578-2020

Fax

(801) 748-4892

NPI assigned

Oct 13, 2006

Sex

Male

Sole proprietor

No

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 UT

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

Southern California College of Optometry, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Myeyedr Optometry of Washington PLLCGroup PAC ID 4486186657, 50 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Healthy Eyes Associates LLC

  • Optometrist
  • West Jordan, UT
  • NPI 1063619740
  Medicare reassignment NPD Authorized official
• Myeyedr Optometry of Washington, PLLC

  • Optometrist
  • Bountiful, UT
  • NPI 1174404024
  Medicare reassignment Care Compare group NPD
• Myeyedr Optometry of Washington, PLLC

  • Optometrist
  • Ogden, UT
  • NPI 1942151998
  NPD
• Myeyedr Optometry of Washington, PLLC

  • Optometrist
  • Phoenix, AZ
  • NPI 1053156729
  NPD (past)

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1962592782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8806 REDWOOD RD STE 101",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840885194",
            "telephone_number": "801-578-2020",
            "fax_number": "801-748-4892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBALL",
        "first_name": "JORY",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "5922926-9934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kids Behavioral Health of Utah, Inc
• Kim Chen Anesthesia Services Inc
• Hyerim Kim, PT, DPT.
• Katelin Kim
• Elizabeth Kimball
• Bari Michelle King, F.N.P.
• Grant King
• Joseph L Kingston, D.O.
• Liana Olivia Kinikini, DNP, APRN, NP-C
• Crystalee Kinkaid

• Optometrist in West Jordan, UT
• Providers in West Jordan, UT by specialty
• Optometrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; 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.