Kimberly Dawn Durossette, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2359 Issued in OK

Practice address

3505 Chandler Rd
Muskogee, OK 74403-4911

Phone

(918) 880-3937

Fax

(918) 539-0030

NPI assigned

Jun 26, 2006

Last updated

Mar 13, 2025By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

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

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Warner Family Eye Care Inc

  • Optometrist
  • Muskogee, OK
  • NPI 1427173970
  Medicare reassignment Authorized official
• Success Vision Express of Sand Springs, LLC

  • Optometrist
  • Sand Springs, OK
  • NPI 1346424637
  Medicare reassignment NPD
• Dr. Samuel Presley & Associates, Inc.

  • Optometrist
  • Tulsa, OK
  • NPI 1124264007
  NPD (past)

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1992732119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 CHANDLER RD",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744034911",
            "telephone_number": "918-880-3937",
            "fax_number": "918-539-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 CHANDLER RD",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744034911",
            "telephone_number": "918-880-3937",
            "fax_number": "918-539-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUROSSETTE",
        "first_name": "KIMBERLY",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200006780A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordan Maxwell Dunn
• Megan Dunn
• Susan Dunn, DDS
• Robert Lee Durham
• Hope N Durossette
• Kevin Richard Dux, DPM
• Dwayne H Atwell MD PC
• Craig Joseph Dye, DPT
• Pamela Lucille Dyer
• E R Associates Inc

• Optometrist in Muskogee, OK
• Providers in Muskogee, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.