Kevin Todd Kissel (NPI# 1770553943, PAC ID# 6800940024) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1770553943 |
| PAC ID by PECOS | 6800940024 |
| Professional Enrollment ID | I20101019000423 |
| Full Name | Kevin Todd Kissel |
| Organization Legal Name | KISSEL FAMILY OPTOMETRY, INC. |
| Address |
1439 Cook Pkwy Oceana WV 24870-0585 |
| Phone Number | 3046826144 |
| Gender | M |
| Medical School | INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY |
| Graduation Year | 1996 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 3173677549 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1439 Cook Pkwy, Oceana, WV 24870-0585 | 3046826144 | KISSEL FAMILY OPTOMETRY, INC. |
| Organization Legal Name | KISSEL FAMILY OPTOMETRY, INC. |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joy Kissel | Optometry | Kissel Family Optometry, Inc. | 1439 Cook Pkwy, Oceana, WV 24870-0585 |
| Street Address |
1439 COOK PKWY |
| City | OCEANA |
| State | WV |
| Zip | 24870-0585 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joy Kissel | Optometry | Kissel Family Optometry, Inc. | 1439 Cook Pkwy, Oceana, WV 24870-0585 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julie A Massey | Nurse Practitioner | Family Healthcare Associates Inc | 926 Cook Pkwy, Oceana, WV 24870 |
| Shashikant B Bhavsar | General Practice | Hygeia Facilities Foundation Inc | 26 Trinity Ln, Oceana, WV 24870 |
| Jennifer Fain | Nurse Practitioner | Family Healthcare Associates Inc | 926 Cook Pkwy, Oceana, WV 24870 |
| City | OCEANA |
| Zip Code | 24870 |
| Specialty | OPTOMETRY |
| City + Specialty | OCEANA + OPTOMETRY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.