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Kimberly Ambrosino, O.D.
NPI 1720293566 · Optometrist · Southaven, MS
Kimberly Ambrosino, O.D. is a Optometrist provider in Southaven, MS (NPI 1720293566).
Provider details
- NPI number
- 1720293566
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 654 (MS)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6823 Elmore Rd
Southaven, MS 38671
Phone: (662) 536-3680
Street-level locationGet directions
Mailing address
3908 Lake Village Cv
Olive Branch, MS 38654-5838
Registry dates
- Enumerated
- 2007-05-14
- Last updated
- 2007-07-08
Frequently asked questions
- What is Kimberly Ambrosino's NPI number?
- Kimberly Ambrosino's National Provider Identifier (NPI) is 1720293566, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kimberly Ambrosino's specialty?
- Kimberly Ambrosino is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Kimberly Ambrosino located?
- Kimberly Ambrosino's practice location on file with NPPES is 6823 Elmore Rd, Southaven, MS 38671.
- What is Kimberly Ambrosino's phone number?
- The practice phone number listed in the NPPES registry for Kimberly Ambrosino is (662) 536-3680.
- Is Kimberly Ambrosino's NPI active?
- Yes — Kimberly Ambrosino's NPI (1720293566) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.