MEDICARE: KIMBERLEY P POIRIER-SCHMIDT O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	TUV008194-1	NY

General Provider Information

NPI Number	:	1063827665
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLEY P POIRIER-SCHMIDT O.D.

Provider Business Mailing Address
First Line	:	3535 HILL BLVD STE R
Second Line	:
City	:	YORKTOWN HEIGHTS
State	:	NY
Zip	:	10598-1209
Country	:	US
Telephone Number	:	914-245-3303
Fax Number	:

Provider Business Practice Location Address
First Line	:	3535 HILL BLVD STE R
Second Line	:
City	:	YORKTOWN HEIGHTS
State	:	NY
Zip	:	10598-1209
Country	:	US
Telephone Number	:	914-245-3303
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2014
Last Update Date	:	01/19/2022

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Directions to “ KIMBERLEY P POIRIER-SCHMIDT O.D.” Practice Location

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