Provider Demographics
NPI:1992876197
Name:KLIMAS, RIMA KRISTINA (OD)
Entity type:Individual
Prefix:
First Name:RIMA
Middle Name:KRISTINA
Last Name:KLIMAS
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1911 N MILLS AVE
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32803-1407
Mailing Address - Country:US
Mailing Address - Phone:407-893-8200
Mailing Address - Fax:407-893-8210
Practice Address - Street 1:260 LOOKOUT PL STE 105
Practice Address - Street 2:
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751-4485
Practice Address - Country:US
Practice Address - Phone:407-647-7227
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-11
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC3597152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL7443808OtherAETNA
FL621247600Medicaid
FL0160080OtherGHI
FL5781943OtherCIGNA
FL68256OtherBCBSFL
FLP00268792Medicare PIN
FL7443808OtherAETNA
FL0160080OtherGHI
FL68256OtherBCBSFL