RANDOLPH CLAY KINKADE (NPI# 1881745032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881745032 |
Entity Type | Individual |
Full Name | RANDOLPH CLAY KINKADE |
Credential | O.D. |
Practice Address |
63 West St Litchfield CT 06759-3502 |
Practice Telephone | 8605673133 |
Mailing Telephone | 8605673133 |
Enumeration Date | 2007-01-15 |
Last Update Date | 2013-11-22 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 152WL0500X |
Optometrist Specialization: Low Vision Rehabilitation |
935 | CT | Eye and Vision Services Providers |
Street Address |
63 WEST ST |
City | LITCHFIELD |
State | CT |
Zip Code | 06759-3502 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972824225 | Madhavi Chavda | Dentist | 63 West St, Litchfield, CT 06759-3502 | 2010-06-21 |
1659416238 | Steven Sideris | Dentist | 63 West St, Litchfield, CT 06759 | 2007-02-21 |
1770624173 | Marcia Cornell | Audiologist-Hearing Aid Fitter | 63 West St, Litchfield, CT 06759-3502 | 2007-02-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508402256 | Clear Mind Counseling LLC | Social Worker | 62 West Street, Litchfield, CT 06759 | 2019-11-18 |
1285027714 | Cheryl Andrea Lambert | Nurse Practitioner | 318 Hunter Drive, Litchfield, CT 06759 | 2015-03-09 |
1225437981 | Kirk Round Dmd PC | Dentist | 338 Bantam Road, Litchfield, CT 06759 | 2014-08-19 |
1710386511 | Nw Home Care, LLC | In Home Supportive Care | 26b Commons Dr, Litchfield, CT 06759 | 2014-08-18 |
1619398609 | Steven G. Trott | Orthopaedic Surgery | 9 East Street, Litchfield, CT 06759 | 2013-12-18 |
1265607568 | Kathleen Hausmann Lyons | Emergency Medicine | 126 Milton Rd, Litchfield, CT 06759 | 2008-04-28 |
1255518718 | Janet Peterson | Counselor | 82 Meadow St, Litchfield, CT 06759 | 2008-01-28 |
1407984230 | Litchfield Hills Pediatrics LLC | Pediatrics | 622 Bantam Rd., Litchfield, CT 06759 | 2007-03-01 |
1881746576 | John Paul Simoncelli | Dentist | 34 East Street, Litchfield, CT 06759 | 2007-01-16 |
1952488090 | William F. Fabbri | Dentist | 3 West Street, Litchfield, CT 06759 | 2006-11-01 |
Find all providers in zip 06759 |
Taxonomy Code | 152WL0500X |
Grouping | Eye and Vision Services Providers |
Classification | Optometrist |
Specialization | Low Vision Rehabilitation |
Optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services. |
Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659896454 | Let's Go Technology, Inc | Optometrist | 1077 Bridgeport Ave Ste 103, Shelton, CT 06484-4622 | 2017-08-14 |
1205219037 | Sarah Sharrard | Optometrist | 536 Redstone Hill Rd, #24, Bristol, CT 06010-7974 | 2015-06-29 |
1881770477 | William V Padula | Optometrist | 37 Soundview Rd, Guilford, CT 06437 | 2006-10-27 |
1144235847 | Madison Eye Care LLC | Optometrist | 1347 Boston Post Rd, #101, Madison, CT 06443-3475 | 2006-07-30 |
1871783076 | Padula Institute of Vision Rehabilitation, LLC | Optometrist | 37 Soundview Rd, Guilford, CT 06437-2916 | 2007-07-25 |
1366555468 | Christine Laura Burke | Optometrist | 950 Campbell Ave, West Haven, CT 06516-2770 | 2006-08-16 |
City | LITCHFIELD |
Zip Code | 06759 |
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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.