RANDOLPH CLAY KINKADE


Address: 63 West St, Litchfield, CT 06759-3502
Phone: 8605673133

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152WL0500X Optometrist
Specialization: Low Vision Rehabilitation
935 CT Eye and Vision Services Providers

Office Location

Street Address 63 WEST ST
City LITCHFIELD
State CT
Zip Code 06759-3502

Providers in the same location

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

Providers in the same zip code

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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
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Taxonomy Information

Taxonomy Code 152WL0500X
Grouping Eye and Vision Services Providers
Classification Optometrist
Specialization Low Vision Rehabilitation

Taxonomy Definition

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]

Providers in the same taxonomy and state

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

Competitor

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City LITCHFIELD
Zip Code 06759

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Dataset Information

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.

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