DR. LYNDE HARRISON KIMBALL O.D. NPI 1871609727

NPI Information

NPI: 1871609727
Provider Name: DR. LYNDE HARRISON KIMBALL, O.D.
Classification: Optometrist - 152WV0400X
Entity Type: Individual

Specialization: Vision Therapy

Address:
1222 PUTNEY RD
BRATTLEBORO, VT
ZIP 05301
Phone: (802) 254-6900
Get Directions

DR. Lynde Harrison Kimball, O.D. is a vision therapy optometrist in Brattleboro, VT. The provider is optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions. DR. Lynde Harrison Kimball, O.D. NPI is 1871609727. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1222 PUTNEY RD
BRATTLEBORO, VT
ZIP 05301-062
Phone: (802) 254-6900
Fax: (802) 254-7610

The enumeration date for this NPI number is 8/22/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	152WV0400X	Optometrist	Vision Therapy	030-0000113	VERMONT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	KIMB 077-6175	OTHER	VERMONT	BC/BS
2	03-0298152	OTHER	VERMONT	FED. ID #
3	KIVT7910	MEDICARE ID-TYPE UNSPECIFIED	VERMONT
4	7910	MEDICAID	VERMONT
5	T25392	MEDICARE UPIN	VERMONT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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