Randolph Clay Kinkade in Litchfield - Low Vision Rehabilitation

Randolph Clay Kinkade - NPI 1881745032

Randolph Clay Kinkade is a Low Vision Rehabilitation in Litchfield, Connecticut. Randolph Clay Kinkade practices all healthcare services and medical treatments related to Low Vision Rehabilitation. The NPI Number for Randolph Clay Kinkade is 1881745032. The last update date is 2013-11-22.

Randolph Clay Kinkade's current location address is 63 West St, Litchfield, Connecticut. You can contact this provider via phone number 8605673133. The mailing address for Randolph Clay Kinkade is 63 West St, Litchfield, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name Randolph Clay Kinkade
Address 63 West St, Litchfield, Connecticut
Phone Number 8605673133
Fax Number
Sole Proprietor Y
Credentials O.D.

NPI Number Detail

NPI Number 1881745032
Provider Enumeration Date 2007-01-15
Last Updated Date 2013-11-22

Provider Mailing Address Detail

Address 63 West St
City Litchfield
State Connecticut (CT)
Post Code 67593502
Phone Number 8605673133
Fax Number

Provider's Primary Taxonomy Detail

Speciality Low Vision Rehabilitation
Taxonomy 152Wl0500X
Licence No 935
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.

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FAQs about Randolph Clay Kinkade

What is the unique provider identifier assigned to Randolph Clay Kinkade?

The Randolph Clay Kinkade has been issued the NPI (National Provider Identifier) 1881745032 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete street address where Randolph Clay Kinkade is physically located?

The Randolph Clay Kinkade is physically situated at the following address: 63 West St, Litchfield, CT, 67593502.

What is Randolph Clay Kinkade's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Randolph Clay Kinkade is Low Vision Rehabilitation, and the taxonomy code that classifies this field of practice is 152Wl0500X.

On what date did the Centers for Medicare & Medicaid Services issue the 1881745032 to Randolph Clay Kinkade?

The Randolph Clay Kinkade received its 1881745032 assignment from the Centers for Medicare & Medicaid Services on 2007-01-15.

As of what date were the details related to Randolph Clay Kinkade most recently updated or revised?

The information pertaining to Randolph Clay Kinkade, including its address, specialty, and other relevant details, was last updated or revised on 2013-11-22.

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