DR. KIMBERLY LYNN LUST RUEB (NPI# 1508207176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508207176 |
| Entity Type | Individual |
| Full Name | DR. KIMBERLY LYNN LUST RUEB |
| Other Name | KIMBERLY LYNN LUST |
| Credential | OD |
| Practice Address |
1621 Market Place Dr Great Falls MT 59404-3480 |
| Mailing Address |
Po Box 1506 Chehalis WA 98532-0409 |
| Practice Telephone | 4064542202 |
| Practice Fax Number | 4064521020 |
| Mailing Telephone | 3602423008 |
| Mailing Fax Number | 3608077687 |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2020-11-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | ODP-100315 | ID | Eye and Vision Services Providers |
| Y | 152W00000X | Optometrist | OPT-OPT-LIC-2223 | MT | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | OD60373324 | WA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2038492 | 05 | |
| ID | 1508207176 | 05 | |
| MT | 1508207176 | 05 | |
| OR | 1508207176 | 05 |
| Street Address |
1621 MARKET PLACE DR |
| City | GREAT FALLS |
| State | MT |
| Zip Code | 59404-3480 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912174996 | Pacific Cataract and Laser Institute Inc PC | Clinic/Center | 1621 Market Place Dr, Great Falls, MT 59404-3480 | 2008-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629504154 | Shawna Renee Applegate | Nurse Practitioner | 115 4th St S., Great Falls, MT 59404 | 2017-05-03 |
| 1093267213 | Cara Firman | Counselor | 3300 3rd St Ne, Great Falls, MT 59404 | 2016-11-04 |
| 1457803900 | Benjamin Huempfner | Counselor | 1205 1st Ave Nw, Great Falls, MT 59404 | 2016-11-01 |
| 1649675471 | Stephen Trautman | Pharmacist | 1000 3rd Steet Nw, Great Falls, MT 59404 | 2014-10-22 |
| 1457765851 | Complete Eye Care Pllc | Optometrist | 1012 1st Ave Nw, Great Falls, MT 59404 | 2014-06-13 |
| 1871923714 | William Joshu | Physician Assistant | 25 14th Avenue N.w., Great Falls, MT 59404 | 2013-11-13 |
| 1679839369 | Joelene Sharon (o'neill) Goodover | Counselor | 803 Forest Ave., Great Falls, MT 59404 | 2012-04-06 |
| 1942512728 | Amy Jo Jamieson | Counselor | 600 Ave. A, Valley View School, Great Falls, MT 59404 | 2010-07-08 |
| 1942527890 | Matthew Clayton Taecker | Emergency Medicine | 113 38th Ave Ne, Great Falls, MT 59404 | 2010-04-30 |
| 1720212897 | Dana Marie Thompson | Military Health Care Provider | 819 Rhs/sg, 6944 Goddard Drive, Malmstrom Afb, MT 59404 | 2009-05-05 |
| Find all providers in zip 59404 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457765851 | Complete Eye Care Pllc | Optometrist | 1012 1st Ave Nw, Great Falls, MT 59404 | 2014-06-13 |
| 1740430149 | Family Eye Care, LLC | Optometrist | 501 Central Ave, Great Falls, MT 59401-3117 | 2008-09-23 |
| 1811105778 | Joy Saxon Poppell | Optometrist | 1900 4th St Ne Ste 5, Great Falls, MT 59404-1960 | 2007-05-21 |
| 1114061256 | Kenneth A Ethier | Optometrist | 1525 10th Ave S, Great Falls, MT 59405-2608 | 2007-02-19 |
| 1336205632 | Alexander C Archibald | Optometrist | 1717 4th St S, Great Falls, MT 59405-4133 | 2006-12-29 |
| 1053477679 | James W Reeves | Optometrist | 11 5th St N, Suite 101, Great Falls, MT 59401-3268 | 2006-12-28 |
| 1891890364 | Lowell T More | Optometrist | 35 Prospect Dr, Great Falls, MT 59405-4123 | 2006-09-13 |
| 1578596425 | Shon Anthony Weaver | Optometrist | 701 Smelter Ave Ne, Vision Center, Great Falls, MT 59404-1940 | 2006-07-07 |
| 1366493231 | Anthony Charles Turk | Optometrist | 1012 1st Ave North, Great Falls, MT 59404 | 2006-05-15 |
| 1770543779 | Eye Clinic of Great Falls, P.C. | Optometrist | 509 2nd Ave N, Great Falls, MT 59401 | 2006-03-24 |
| Find all providers in GREAT FALLS | ||||
| City | GREAT FALLS |
| Zip Code | 59404 |
Please comment or provide details below to improve the information on DR. KIMBERLY LYNN LUST RUEB.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.