Randolph C Kinkade, OD
Optometrist, Low Vision Rehabilitation in Litchfield, Connecticut
1881745032- Practice location
- 63 West St, Litchfield, CT 06759-3502
- Phone
- 860-567-3133
- Fax
- —
- Last updated
- November 22, 2013
Randolph Clay Kinkade is an Optometrist, Low Vision Rehabilitation based in Litchfield, CT. Randolph Clay Kinkade practices in Litchfield, CT and has the professional credentials of OD. The NPI Number for Randolph Clay Kinkade is 1881745032 and holds a License No. 935 (CT). The current practice location address for Randolph Clay Kinkade is 63 West St, Litchfield, CT 06759-3502 and can be reached out via phone at 860-567-3133.
Provider Profile Details
- NPI Number
- 1881745032
- Provider Name
- Randolph Clay Kinkade
- Credential
- OD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 63 West St, Litchfield, CT 06759-3502
- Phone Number
- 860-567-3133
- Primary Taxonomy
- Optometrist, Low Vision Rehabilitation · 152WL0500X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 15, 2007
- Last Update Date
- November 22, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 63 West St
Litchfield, CT 06759-3502 - City
- Litchfield
- State
- Connecticut
- Zip
- 06759-3502
- Phone Number
- 860-567-3133
Provider Business Mailing Address Details
- Address
- 63 West St
Litchfield, CT 06759-3502 - City
- Litchfield
- State
- CT
- Zip
- 06759-3502
- Phone Number
- 860-567-3133
License Information
- License Number
- 935
- License State
- CT
- Taxonomy
- Optometrist, Low Vision Rehabilitation · 152WL0500X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Optometrist, Low Vision Rehabilitation providers near Litchfield, CT
View all Optometrist, Low Vision Rehabilitation providers in Litchfield →- Mrs. Kendall M Goessinger, LADC, CACCounselor, Addiction (Substance Use Disorder) · NPI 1306746078
- Jordan E OlivieriPhysician Assistant · NPI 1033028402
- Walgreen CoPharmacy · NPI 1124541008
- Maria C SeguljicCounselor, Mental Health · NPI 1528962214
- Melissa Troccia, PHLEBOTOMISTTechnician, Pathology, Phlebotomy · NPI 1578471736
- Engines Of ChangeSocial Worker, Clinical · NPI 1063327047
Frequently Asked Questions
What is the NPI number of Randolph C Kinkade, OD?
The NPI number of Randolph C Kinkade, OD is 1881745032. It was assigned on January 15, 2007 and is currently active in the NPPES registry.
What is the specialty of Randolph C Kinkade, OD?
Randolph C Kinkade, OD is registered under the primary taxonomy Optometrist, Low Vision Rehabilitation (code 152WL0500X), licensed in CT under license number 935.
Where does Randolph C Kinkade, OD practice?
The practice location is 63 West St, Litchfield, CT 06759-3502. The office can be reached at 860-567-3133 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1881745032 directly on the NPPES registry website.