Kenneth D Stults is a Creston, Iowa based male Optometrist with 29 years of experience in Optometry. He completed his graduation from Indiana University - School Of Optometry in 1995. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Kenneth D Stults is 02061 for Optometry in Iowa. Kenneth D Stults 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:
Kenneth D Stults 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:
OD
Experience:
29+ years
Medical School Attended:
Indiana University - School Of Optometry
Graduation Year:
1995
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
1610 W Townline St, Ste 115, Creston, Iowa, 50801-1064
Phone:
641-782-7619
Fax:
641-782-6549
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:
1759375215
Enrollment ID:
I20100514000550
NPI Number:
1982608865
NPI Enumeration Date:
09 Jun, 2005
NPI Last Update On:
27 Nov, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kenneth D Stults are as mentioned below.
License Number
Specialization
State
Status
02061
Optometry
Iowa
Primary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Kenneth D Stults has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Creston Vision Clinic Pc (9234123787)
2
Other Medical Identifiers:
Other legacy medical identifiers associated with Kenneth D Stults such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
51981
Other
Iowa
BLUE CROSS BLUE SHIELD
1520261
Other
Iowa
OD LICENSE
0128975
Medicaid
Iowa
02061
Other
Iowa
IOWA LICENSE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 427, Creston, Iowa
Zip:
50801-0427
Phone Number:
641-782-7619
Fax Number:
641-782-6549
Patients can reach Kenneth D Stults at 1610 W Townline St, Ste 115, Creston, Iowa or can call to book an appointment on 641-782-7619. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.