MS. KIMBERLY RENEE WALKER (O.D.) – Optometrist, NPI 1922079177

MS. KIMBERLY RENEE WALKER (O.D.) is a healthcare provider. based in Pomona, California. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 14331TPG (CA). The NPI Number for MS. KIMBERLY RENEE WALKER (O.D.) is 1922079177

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
MS. KIMBERLY RENEE WALKER (O.D.)
NPI
1922079177
Phone
(909) 469-8773
Address
795 E SECOND STREET
Enumeration Date
27 January 2006
Last Update Date
17 May 2018

Doctor Profile

Medical School Name
PENNSYLVANIA COLLEGE OF OPTOMETRY
Secondary Phone
7144568068
Graduation Year
2005 (21 years ago)
PAC ID
9133145428
Group Practice PAC ID
9830094275
Professional Enrollment ID
I20120413000360
Address ID
CA928683201OR101XXSXXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,909 OPTOMETRY in CA

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Provider Addresses for MS. KIMBERLY RENEE WALKER (O.D.)

  • Second Street, Walnut Hills Mobile Home Park, Pomona, Los Angeles County, California, 91765, United States

    SUITE 2

    POMONA, CA 917662007

    Phone: (909) 469-8773

    Fax: (909) 469-5228

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $24.

Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Alcon Vision LLC ($24).

Total Amount

$24

General + Research + Ownership

Payments

1

Total payment records

General Amount

$24

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Alcon Vision LLC$24
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-04-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120413000360IOptometryCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes7048$0
92060Exam to measure eye deviation and range of motion3836$0
View full utilization report →

Insurance plans in this area (ZIP 91766)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830094275View full group profile
NameSpecialtyState
O P H T H A L M O L O G YMA
O P H T H A L M O L O G YCA
Occupational Therapist In Private PracticeCA
N E U R O L O G YCA
O P T O M E T R YCA
Ophthalmology, NeurologyCA
O P H T H A L M O L O G YCA
O P H T H A L M O L O G YOH
O P H T H A L M O L O G YCA
O P H T H A L M O L O G YCA

Reviews

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Frequently asked questions

How is MS. KIMBERLY RENEE WALKER (O.D.) identified in CMS data?
CMS-hosted NPPES data lists MS. KIMBERLY RENEE WALKER (O.D.) with NPI 1922079177.
Does CMS list MS. KIMBERLY RENEE WALKER (O.D.) as active?
Yes — MS. KIMBERLY RENEE WALKER (O.D.) is active in the NPI listing used on this page.
What is MS. KIMBERLY RENEE WALKER (O.D.) best known for clinically?
Directory data describes MS. KIMBERLY RENEE WALKER (O.D.) with Optometrist. Clinical services aligned with this taxonomy classification.
Does MS. KIMBERLY RENEE WALKER (O.D.) list a practice location?
Patients near Pomona, California may find MS. KIMBERLY RENEE WALKER (O.D.) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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