DR. KEVIN ALLEN SKIDMORE (NPI# 1093060188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093060188 |
| Entity Type | Individual |
| Full Name | DR. KEVIN ALLEN SKIDMORE |
| Credential | O.D. |
| Practice Address |
854 Ridgewood Drive Berea KY 40403 |
| Practice Telephone | 8599867027 |
| Practice Fax Number | 8599864749 |
| Mailing Telephone | 8599867027 |
| Mailing Fax Number | 8599864749 |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2020-09-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1913DT | KY | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | OPT.6159-THER | OH | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275921033 | Kevin Skidmore | Social Worker | 43211 Dalcoma Dr, Suite 7, Clinton Township, MI 48038-6309 | 2015-01-02 |
| Street Address |
854 RIDGEWOOD DRIVE |
| City | BEREA |
| State | KY |
| Zip Code | 40403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912559899 | Addiction Recovery Care LLC | Substance Abuse Rehabilitation Facility | 130 Campus Dr., Annville, KY 40403 | 2019-07-11 |
| 1710479241 | Mccays Total Care Pharmacy South LLC | Pharmacy | 852 Ridgewood Drive, Suite F, Berea, KY 40403 | 2018-05-31 |
| 1306371703 | Ariel Boyd | Occupational Therapist | 752 Richmond Rd N, Berea, KY 40403 | 2017-04-24 |
| 1366715443 | Jeannie Marie Lakes | Case Manager/Care Coordinator | 137 Raven Drive, Berea, KY 40403 | 2012-02-20 |
| 1679858138 | Anita Zlamal | Pharmacist | 220 Richmond Rd, Berea, KY 40403 | 2011-10-17 |
| 1093099210 | Teresa Leigh Turner | Nurse Practitioner | 208 Kidd Drive, Berea, KY 40403 | 2011-10-06 |
| 1992005839 | Madison County Health Department | Public Health or Welfare | 751 Farristown Industrial, Berea, KY 40403 | 2010-10-26 |
| 1154632271 | Jones Family & Cosmetic Dentistry | Dentist | 201 Pauline Dr., Suite H, Berea, KY 40403 | 2010-06-23 |
| 1174845713 | Chris Sipple Enterprises LLC | Chiropractor | 502 Richmond Road, Berea, KY 40403 | 2010-02-24 |
| 1144551573 | Annette A Freel | Psychologist | 164 Plaza Dr., Suite D, Berea, KY 40403 | 2010-01-25 |
| Find all providers in zip 40403 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437315488 | Caitlin Filips | Optometrist | 487 W Bagley Rd, Berea, OH 44017-1326 | 2008-07-30 |
| 1255460838 | Dr. Eric's Total Vision Care | Optometrist | 431 W Bagley Rd, Berea, OH 44017-1351 | 2007-03-02 |
| 1336229715 | Gary E King | Optometrist | 854 Ridgewood Dr., Berea, KY 40403-9814 | 2006-10-17 |
| 1568483972 | Mary C. Gerhart | Optometrist | 343 W Bagley Rd, Berea, OH 44017-1370 | 2006-07-21 |
| 1609815844 | Terry E Daniel | Optometrist | 295 High St, Berea, OH 44017-1833 | 2006-06-05 |
| 1629029400 | Michael Andrew Durant | Optometrist | 116 Mini Mall Dr, Berea, KY 40403-1170 | 2006-05-15 |
| 1205287521 | Dr Caitlin S Filips | Optometrist | 487 W Bagley Rd, Berea, OH 44017-1326 | 2016-06-28 |
| 1447505532 | Sarah Kaitlin King | Optometrist | 854 Ridgewood Dr., Berea, KY 40403-9814 | 2012-07-16 |
| 1003136466 | M Andrew Durant Od Pllc | Optometrist | 116 Mini Mall Dr, Berea, KY 40403-1170 | 2010-06-08 |
| 1578761136 | Jason B. Howard, O.d. L.L.C. | Optometrist | 120 Jill Dr, Berea, KY 40403-1677 | 2007-07-05 |
| Find all providers in BEREA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.