Kimberly Balk

Primary specialty

OpticianTaxonomy code 156FX1800X

License

190554 Issued in KS

Practice address

411 E Centennial Dr
Pittsburg, KS 66762-6505

Phone

(620) 232-1005

Fax

(620) 231-5821

NPI assigned

Nov 7, 2014

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Wimmer P.a.

  • Optometrist
  • Pittsburg, KS
  • NPI 1962517136
  NPD (past)
• Gracie Chase Avery, LLC

  • Optometrist
  • Joplin, MO
  • NPI 1003320607
  NPD (past)

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

{
    "created_epoch": "1415318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415318400000",
    "number": "1972909679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 E 650TH AVE",
            "city": "ARMA",
            "state": "KS",
            "postal_code": "667129538",
            "telephone_number": "620-875-6748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 E CENTENNIAL DR",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667626505",
            "telephone_number": "620-232-1005",
            "fax_number": "620-231-5821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALK",
        "first_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-07",
        "last_updated": "2014-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "KS",
            "license": "190554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey E Bacon, NP-C
• Heather Lorraine Baima, ARNP
• Janel Marie Baker, PHARMD
• Michael P Baker, MD
• Rick M Baker, PHARMD
• Rachel Marie Barnes
• Kylee Barney, LPC
• Dawny M Barnhart, D.O.
• Bartholomew & Dillon Counseling Services, Inc.
• Peter Bates, APRN-C

• All providers in Pittsburg, KS
• Optician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2014; 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.