DR. KEVIN WILLIAM CLOGG (NPI# 1568762995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568762995 |
| Entity Type | Individual |
| Full Name | DR. KEVIN WILLIAM CLOGG |
| Credential | O.D. |
| Practice Address |
2300 Buffalo Rd Bldg 700 Rochester NY 14624-1367 |
| Practice Telephone | 5853280153 |
| Practice Fax Number | 5853280158 |
| Mailing Telephone | 5853280153 |
| Mailing Fax Number | 5853280158 |
| Enumeration Date | 2010-11-02 |
| Last Update Date | 2010-11-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | TUV007652-1 | NY | Eye and Vision Services Providers |
| Street Address |
2300 BUFFALO RD BLDG 700 |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14624-1367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124012802 | Retina Specialist of The Finger Lakes | Ophthalmology | 2300 Buffalo Rd, Bldg 700b, Rochester, NY 14624-1360 | 2005-09-08 |
| 1851832687 | Susan Marrone | Registered Nurse | 2300 Buffalo Rd, Suite 800-c, Rochester, NY 14624-1360 | 2017-03-13 |
| 1205286986 | State of New York Comptrollers Office | Clinic/Center | 2300 Buffalo Rd, Rochester, NY 14624-1360 | 2016-06-14 |
| 1770974982 | Robert Michael Hales | Dentist | 2300 Buffalo Rd, Suite 300, Rochester, NY 14624-1360 | 2015-02-10 |
| 1972917904 | Emily Hanlon | Optometrist | 2300 Buffalo Rd, Bldg 700, Rochester, NY 14624-1367 | 2014-06-18 |
| 1588095574 | Podiatry Associates of Rochester, LLP | Podiatrist | 2300 Buffalo Rd, Suite 900 C, Rochester, NY 14624-1360 | 2013-12-02 |
| 1528304805 | Q Dental Associates, P.C. | Dentist | 2300 Buffalo Rd, Building 400, Rochester, NY 14624-1360 | 2012-12-14 |
| 1679821797 | Alicia Bridgette Courtney | Physical Therapist | 2300 Buffalo Rd, Building 100-c, Rochester, NY 14624-1360 | 2012-08-21 |
| 1700163144 | John Otto Arlington | Physical Therapist | 2300 Buffalo Rd, Bldg 100c, Rochester, NY 14624-1375 | 2011-11-14 |
| 1942539762 | Xiuli Sun | Dentist | 2300 Buffalo Rd, Conerstone Center Bldg.400, Rochester, NY 14624-1360 | 2009-12-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871131797 | Tim's Trim Inc. | Contractor | 25 Bermar Park, Rochester, NY 14624 | 2019-12-11 |
| 1659830537 | Onita Princene Thomas | Non-emergency Medical Transport (VAN) | 38 Mulcahy Blvd, Rochester, NY 14624 | 2019-03-19 |
| 1770091852 | Brittany Richards | Case Manager/Care Coordinator | 1860 Buffalo Road, Rochester, NY 14624 | 2018-01-11 |
| 1912431123 | Ashley Marie Mooney | Dentist | 2300 Buffalo Rd Bldg 400, Rochester, NY 14624 | 2017-04-13 |
| 1396195079 | State of New York Comptrollers Office | Clinic/Center | 40 Bermar St, Rochester, NY 14624 | 2016-06-14 |
| 1134520729 | Karleigh J Sharp | Physician Assistant | 1160 Chili Ave., Suite 200, Rochester, NY 14624 | 2014-09-15 |
| 1174945398 | Lorraine Clarissa Bryan | Licensed Practical Nurse | 2 Hinkley Lane, Gates, NY 14624 | 2014-01-07 |
| 1053749614 | Amy Desantis | Physician Assistant | 9 Merrydale Drive, Rochester, NY 14624 | 2013-10-17 |
| 1700212388 | Monique Shiree Lawrence | Licensed Practical Nurse | 103 Norway Spruce Drive, Rochester, NY 14624 | 2013-09-16 |
| 1497019921 | Emily Lengen | Specialist | 6 Alderbrook Trail, Rochester, NY 14624 | 2012-06-29 |
| Find all providers in zip 14624 | ||||
| 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 |
|---|---|---|---|---|
| 1316588700 | Total Vision Eyecare, Pllc | Optometrist | 1630 Center St W, Rochester, MN 55902-0346 | 2019-10-07 |
| 1619529278 | Amanda Domagola | Optometrist | 451 Hollybrook Rd, Rochester, NY 14623-4115 | 2019-07-14 |
| 1962062000 | Megan Elizabeth Hart | Optometrist | 3173 Chili Ave Ste 400, Rochester, NY 14624-5400 | 2019-06-20 |
| 1902310006 | Maria Annum | Optometrist | 3462 55th St Nw Ste 600, Rochester, MN 55901-0203 | 2017-11-28 |
| 1467964627 | Eric Lee Houghtaling | Optometrist | 2180 Monroe Ave Ste 1, Rochester, NY 14618-2410 | 2017-10-27 |
| 1942731682 | Bhend Family Eye Care, Pllc | Optometrist | 2650 S Broadway, Suite 400, Rochester, MN 55904-6262 | 2017-03-24 |
| 1770932147 | Ashley Mills | Optometrist | 10 Woodcrest Dr, Rochester, NY 14625 | 2016-06-07 |
| 1376957779 | David William Kenney | Optometrist | 3042 W Ridge Rd, Rochester, NY 14626-1676 | 2014-06-13 |
| 1801221346 | Anthony J Dell'anno | Optometrist | 2590 W Ridge Rd, Rochester, NY 14626-3041 | 2013-09-03 |
| 1972944668 | Marycarol Graby | Optometrist | 2301 Lac Deville Blvd, Rochester, NY 14618-5646 | 2013-07-10 |
| Find all providers in ROCHESTER | ||||
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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.