# KIMBERLY ANN RIORDAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1427286228
- **Gender:** F
- **Credential:** O.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC4551 | FL | Yes |

## Other

- **Enumeration date:** 06/30/2009
- **Last updated:** 05/27/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1908J | BCBS-FL | FL |
| 01 | — | DP944W | MEDICARE | FL |
| 01 | — | P01386714 | RAILROAD MEDICARE | FL |