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

Mrs. Kimberly R Bristow, OD

Individual provider Optometrist · NPI 1669430211

Mrs. Kimberly R Bristow, OD is an Optometry in Newark, Delaware. Graduated from Pennsylvania College of Optometry in 1997, 29 years ago. Practices with Douglas J Lavenburg MD PA, a 6-clinician group and accepts Medicare assignment. Licensed in Delaware and Maryland.

Years since qualifying
29
Trained at
Pennsylvania College of Optometry
Licensed in
DE, MD
In the registry since
2006
Specialties on file
2
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

1 Centurian Dr Ste 114
Newark, DE 19713-2137
Phone: (302) 993-0722
Fax: (302) 993-0754
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 13-0001241 (DE)
Optometrist Taxonomy 152W00000X · Licence TA1463 (MD)

Record details

NPI number1669430211
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedMay 3, 2006
Last updated in NPPESSeptember 22, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolPENNSYLVANIA COLLEGE OF OPTOMETRY
Graduated 1997 (29 years in practice)
Group practice Douglas J Lavenburg Md Pa — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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