DR. KIMBERLY DAWN JEDLICKA O.D.
NPI 1790817203
Optometrist in Bloomington, IN

Active since March 10, 2007
800 E ATWATER AVE, BLOOMINGTON, IN 47405(812) 855-5500 Get Directions Write a Review

NPPES record last updated: March 27, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kimberly Dawn Jedlicka O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KIMBERLY DAWN JEDLICKA O.D. (NPI 1790817203) is an individual optometrist in Bloomington, Indiana, licensed in Indiana (18004365) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1790817203
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. KIMBERLY DAWN JEDLICKACredential: O.D.
Location Address800 E ATWATER AVEBloomington, IN 47405-3635
Mailing Address6711 W Ratliff RdBloomington, IN 47404-9684 · (952) 567-1350
Sole ProprietorYes
Enumeration DateMarch 10, 2007
Last NPPES UpdateMarch 27, 2026
NPPES CertifiedMarch 27, 2026
NPI 1790817203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in IN · 18004365
Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

800 E ATWATER AVE, Bloomington, IN 47405

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
800 E ATWATER AVE
BLOOMINGTON, IN 47405
Optometrist
800 E ATWATER AVE
BLOOMINGTON, IN 47405
Optometrist
800 E ATWATER AVE
BLOOMINGTON, IN 47405
Optometrist
800 E ATWATER AVE
BLOOMINGTON, IN 47405
Optometrist
800 E ATWATER AVE
BLOOMINGTON, IN 47405
Optometrist
800 E ATWATER AVE
BLOOMINGTON, IN 47405
Optometrist
800 E ATWATER AVE
BLOOMINGTON, IN 47405
Optometrist
800 E ATWATER AVE
BLOOMINGTON, IN 47405

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Jedlicka's NPI number?

The NPI number for Kimberly Jedlicka is 1790817203. It was assigned to this individual provider in the NPPES registry on March 10, 2007.

Where is Kimberly Jedlicka located?

Kimberly Jedlicka practices at 800 E Atwater Ave, Bloomington, IN 47405. The listed phone number is (812) 855-5500.

What is Kimberly Jedlicka's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Kimberly Jedlicka was last updated on March 27, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.