Provider Demographics
NPI:1427383553
Name:DR. KIMBERLY OSBORNE AND ASSOCIATES, P.A.
Entity Type:Organization
Organization Name:DR. KIMBERLY OSBORNE AND ASSOCIATES, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST/ CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:CROWLEY
Authorized Official - Last Name:OSBORNE
Authorized Official - Suffix:
Authorized Official - Credentials:OL
Authorized Official - Phone:817-788-5075
Mailing Address - Street 1:6401 NE LOOP 820
Mailing Address - Street 2:SUITE A
Mailing Address - City:NORTH RICHLAND HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:76180-6041
Mailing Address - Country:US
Mailing Address - Phone:817-788-5075
Mailing Address - Fax:817-788-5066
Practice Address - Street 1:6401 NE LOOP 820
Practice Address - Street 2:SUITE A
Practice Address - City:NORTH RICHLAND HILLS
Practice Address - State:TX
Practice Address - Zip Code:76180-6041
Practice Address - Country:US
Practice Address - Phone:817-788-5075
Practice Address - Fax:817-788-5066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-07
Last Update Date:2009-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5745TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty