Kenmore, Todd Alan

Kenmore, Todd Alan is an sole proprietor health care provider with primary practice located at 513 N Telephone Rd , Moore OK 73160-4938. He recently has 9 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Low Vision Rehabilitation, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Sports Vision, Eye and Vision Services Providers / Vision Therapy, Eye and Vision Services Providers / Occupational Vision, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Eyewear Supplier (Equipment, not the service). Eye and Vision Services Providers / Optometrist is his primary health care specialty. Kenmore, Todd Alan can be contacted via phone (405) 799-3030.

Contact Information

Primary practice address
513 N Telephone Rd Moore OK 73160-4938
Fax: (405) 799-3737
Website:

Profile Details

NPI number 1508870437
LBN Legal business name Kenmore, Todd Alan
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2006
Last updated Feb 7th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508870437 NPPES
Oklahoma MEDICAID 200019180B
Oklahoma Other 010814058

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