Kenneth Kisamore is a Optometrist in Vienna, Virginia. Kenneth Kisamore practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Kenneth Kisamore is 1154364800. The last update date is 2021-12-10.
Kenneth Kisamore's current location address is 1950 Old Gallows Rd Ste 520, Vienna, Virginia. You can contact this provider via phone number 7038478899 and fax number 8667954020. The mailing address for Kenneth Kisamore is 1950 Old Gallows Rd Ste 520, Vienna, Virginia. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kenneth Kisamore |
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Address | 1950 Old Gallows Rd Ste 520, Vienna, Virginia |
Phone Number | 7038478899 |
Fax Number | 8667954020 |
Sole Proprietor | N |
Credentials | OD |
NPI Number Detail
NPI Number | 1154364800 |
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Provider Enumeration Date | 2006-06-13 |
Last Updated Date | 2021-12-10 |
Provider Mailing Address Detail
Address | 1950 Old Gallows Rd Ste 520 |
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City | Vienna |
State | Virginia (VA) |
Post Code | 221823970 |
Phone Number | 7038478899 |
Fax Number | 8667954020 |
Provider's Primary Taxonomy Detail
Speciality | Optometrist |
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Taxonomy | 152W00000X |
Licence No | 618001710 |
Definition: 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 |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Kenneth Kisamore by the Centers for Medicare & Medicaid Services?
The Kenneth Kisamore has been issued the NPI (National Provider Identifier) 1154364800, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Kenneth Kisamore's facilities are situated?
The facilities of Kenneth Kisamore are physically located at the following address: 1950 Old Gallows Rd Ste 520, Vienna, VA, 221823970.
What is the Kenneth Kisamore's specialty and taxonomy code?
The Kenneth Kisamore's specialty is Optometrist, and the corresponding taxonomy code is 152W00000X.
On what date did Kenneth Kisamore receive its 1154364800 assignment from the Centers for Medicare & Medicaid Services?
The Kenneth Kisamore was assigned its 1154364800 on 2006-06-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Kenneth Kisamore, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kenneth Kisamore, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-12-10.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY