DR. KIM GORDON POWELL (NPI# 1124034020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124034020 |
| Entity Type | Individual |
| Full Name | DR. KIM GORDON POWELL |
| Credential | O.D. |
| Practice Address |
3975 Navarre Ave Oregon OH 43616-3437 |
| Mailing Address |
1326 S Coy Rd Oregon OH 43616-4140 |
| Practice Telephone | 4196984949 |
| Practice Fax Number | 4196989948 |
| Mailing Telephone | 4196984949 |
| Mailing Fax Number | 4196989948 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 3262 T201 | OH | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962934554 | Kim Powell | Counselor | 301 Madden Dr, Lake Providence, LA 71254-3742 | 2017-04-01 |
| 1821334517 | Kim Powell | Pharmacist | 3601 4th St Stop 7465, Lubbock, TX 79430-7465 | 2012-12-27 |
| 1871813378 | Kim Rae Powell | Speech-Language Pathologist | 2704 Lawndale Ave, Durham, NC 27705-4058 | 2010-06-07 |
| 1124435953 | Kim Powell | Registered Nurse | 501 28th St, Denver, CO 80205-3003 | 2014-07-14 |
| 1053330373 | Kim Latrice Powell | Social Worker | 4100 W 3rd St, Building 302, Dayton, OH 45428-9000 | 2006-07-18 |
| 1497741490 | Kim Alexandre Powell | Nurse Practitioner | 2831 Fort Missoula Rd, Suite 232, Missoula, MT 59804-7419 | 2005-09-25 |
| Street Address |
3975 NAVARRE AVE |
| City | OREGON |
| State | OH |
| Zip Code | 43616-3437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861938524 | Powell Vision Clinic, LLC | Optometrist | 3975 Navarre Ave, Oregon, OH 43616-3437 | 2017-01-18 |
| 1174937619 | Blake Gordon Powell | Optometrist | 3975 Navarre Ave, Oregon, OH 43616-3437 | 2014-06-12 |
| 1710150347 | Powell Vision Clinic, LLC | Eyewear Supplier (Equipment, not the service) | 3975 Navarre Ave, Oregon, OH 43616-3437 | 2008-04-03 |
| 1730195637 | Lynette Sue Powell | Optometrist | 3975 Navarre Ave, Oregon, OH 43616-3437 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699273086 | Tamara Dawson-kynard | Case Manager/Care Coordinator | 40 S Wheeling St, Oregon, OH 43616 | 2018-01-31 |
| 1053703728 | Robert Cousino | Technician | 3018 Springwood St. S, Oregon, OH 43616 | 2015-03-04 |
| 1023359502 | Enrich Medical Transoportation | Non-emergency Medical Transport (VAN) | 1041 Ansonia St, Oregon, OH 43616 | 2013-03-08 |
| 1265779284 | Kathleen C Pollauf | Massage Therapist | 2665 Navarre Ave, Suite A, Oregon, OH 43616 | 2013-01-10 |
| 1225318389 | Tanuja Shekhawat | Dentist | 3246 Navarre Ave., Oregon, OH 43616 | 2011-08-22 |
| 1932408622 | Lisa Marie Coughlin | Surgery | 2751 Bay Park Dr Ste 300-303, Oregon, OH 43616 | 2011-03-21 |
| 1356598940 | Ranvir Singh Rathore | Internal Medicine | 3841 Navarre Avenue, Oregon, OH 43616 | 2008-08-26 |
| 1114182276 | Jennifer Pfleghaar | Emergency Medicine | 2600 Navarre Avenue, Oregon, OH 43616 | 2008-07-28 |
| 1437318938 | Kelly C Mcgee | Nurse Practitioner | 3301 Navarne Avenue, Oregon, OH 43616 | 2008-06-09 |
| 1083712509 | Colony Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 2701 Navarre, Oregon, OH 43616 | 2006-09-20 |
| Find all providers in zip 43616 | ||||
| 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 |
|---|---|---|---|---|
| 1912187220 | Victoria Renee Louis-shilling | Optometrist | 3017 Navarre Ave, Oregon, OH 43616-3307 | 2007-11-05 |
| 1861533945 | Dean Aldrich | Optometrist | 3127 Navarre Ave, Oregon, OH 43616-3377 | 2007-02-09 |
| 1265483168 | Shopko Stores Operating,co.,llc | Optometrist | 6218 Trail Ridge Ct, Oregon, WI 53575-2534 | 2006-05-15 |
| 1942250410 | Dennis E Farrar | Optometrist | 298 Waterman Street, Oregon, WI 53575-1553 | 2006-05-12 |
| 1013997170 | Jodi Kessinger | Optometrist | 2740 Navarre Ave, Oregon, OH 43616 | 2006-01-17 |
| 1821078999 | Robbin W Wagener | Optometrist | 3165 Navarre Ave, Oregon, OH 43616-4348 | 2006-01-17 |
| 1730702689 | Nadine Sadia Laila | Optometrist | 2740 Navarre Ave, Oregon, OH 43616-3216 | 2020-05-27 |
| 1487175766 | Max Edward Melberg | Optometrist | 185 W Netherwood St, Oregon, WI 53575-1100 | 2017-06-27 |
| 1861938524 | Powell Vision Clinic, LLC | Optometrist | 3975 Navarre Ave, Oregon, OH 43616-3437 | 2017-01-18 |
| 1932569100 | Midwest Eye Consultants Ohio, Inc | Optometrist | 2740 Navarre Ave, Oregon, OH 43616-3216 | 2016-03-02 |
| Find all providers in OREGON | ||||
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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.