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NPI Code Detail

MEDICARE: DR. KIMBERLY E PEARL O.D.

MEDICARE:  DR. KIMBERLY E PEARL  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
1152W00000XOptometrist1620KS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1881786978
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KIMBERLY E PEARL O.D.
Provider Business Mailing Address
First Line : 6120 JOHNSON DR
Second Line :
City : MISSION
State : KS
Zip : 66202-3333
Country : US
Telephone Number : 913-262-3937
Fax Number :
Provider Business Practice Location Address
First Line : 1019 MASSACHUSETTS ST
Second Line :
City : LAWRENCE
State : KS
Zip : 66044-2923
Country : US
Telephone Number : 785-843-3844
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2006
Last Update Date : 05/19/2026

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Directions to “ DR. KIMBERLY E PEARL O.D.” Practice Location

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