Provider Demographics
NPI:1063827665
Name:POIRIER-SCHMIDT, KIMBERLEY P (OD)
Entity Type:Individual
Prefix:
First Name:KIMBERLEY
Middle Name:P
Last Name:POIRIER-SCHMIDT
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3535 HILL BLVD STE R
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:10598-1209
Mailing Address - Country:US
Mailing Address - Phone:914-245-3303
Mailing Address - Fax:
Practice Address - Street 1:3535 HILL BLVD STE R
Practice Address - Street 2:
Practice Address - City:YORKTOWN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:10598-1209
Practice Address - Country:US
Practice Address - Phone:914-245-3303
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-23
Last Update Date:2022-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV008194-1152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist