Dr. Todd Alan Kenmore is a Moore, Oklahoma based male Optometrist with 22 years of experience in Optometry. He completed his graduation from Other in 2002. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Todd Alan Kenmore is 2366 for Optometry in Oklahoma. Dr. Todd Alan Kenmore 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. He 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. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Dr. Todd Alan Kenmore speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
O.D.
Experience:
22+ years
Medical School Attended:
Other
Graduation Year:
2002
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
513 N Telephone Rd, Moore, Oklahoma, 73160-4938
Phone:
405-799-3030
Fax:
405-799-3737
Professional Identification Codes:
NPI number stands for National Provider Identifier which 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).
NPI details are as mentioned below.
PAC ID:
5193797488
Enrollment ID:
I20040807000257
NPI Number:
1508870437
NPI Enumeration Date:
28 Jul, 2006
NPI Last Update On:
07 Feb, 2008
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Todd Alan Kenmore are as mentioned below.
License Number
Specialization
State
Status
2366
Optometry
Oklahoma
Primary
2366
Optometry - Corneal and Contact Management
Oklahoma
Secondary
2366
Optometry - Low Vision Rehabilitation
Oklahoma
Secondary
2366
Optometry - Pediatrics
Oklahoma
Secondary
2366
Optometry - Sports Vision
Oklahoma
Secondary
2366
Optometry - Vision Therapy
Oklahoma
Secondary
2366
Optometry - Occupational Vision
Oklahoma
Secondary
2366
Durable Medical Equipment & Medical Supplies
Oklahoma
Secondary
2366
Eyewear Supplier (Equipment, not the service)
Oklahoma
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Todd Alan Kenmore such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
200019180B
Medicaid
Oklahoma
010814058
Other
Oklahoma
TAX ID
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
513 N Telephone Rd, Moore, Oklahoma
Zip:
73160-4938
Phone Number:
405-799-3030
Fax Number:
405-799-3737
Patients can reach Dr. Todd Alan Kenmore at 513 N Telephone Rd, Moore, Oklahoma or can call to book an appointment on 405-799-3030. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.