Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kimberly Dawn Jedlicka, OD

Individual provider Optometrist · NPI 1790817203

Dr. Kimberly Dawn Jedlicka, OD is an Optometrist in Bloomington, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2007
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

800 E Atwater Ave
Bloomington, IN 47405-3635
Phone: (812) 855-5500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 18004365 (IN)

Record details

NPI number1790817203
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorYes
NPI enumeratedMarch 10, 2007
Last updated in NPPESMarch 27, 2026
Certification dateMarch 27, 2026

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