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KENNETH GRAHAM CRUTCHFIELD O.D. NPI 1093916223


NPI Information

NPI: 1093916223
Provider Name: KENNETH GRAHAM CRUTCHFIELD, O.D.
Classification: Optometrist - 152W00000X
Entity Type: Individual
Address:
310 KENT ST
JEFFERSON CITY, MO
ZIP 65109
Phone: (573) 659-7363
Get Directions

Kenneth Graham Crutchfield, O.D. is an optometrist in Jefferson City, MO. The provider is 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. Kenneth Graham Crutchfield, O.D. NPI is 1093916223. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

310 KENT ST
JEFFERSON CITY, MO
ZIP 65109-107
Phone: (573) 659-7363

The enumeration date for this NPI number is 5/28/2007 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometrist0601001489VIRGINIANo
2152W00000XOptometrist04962TTEXASNo
3152W00000XOptometristT02684MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1U52965MEDICARE UPINMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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