Kenneth Kisamore

OD | Optometrist | 39+ years Exp


  
14929 Shady Grove Rd Unit K, Rockville
Maryland, 20850-7728

 301-424-1050     301-424-3184Maps & Directions
Kenneth Kisamore is a Rockville, Maryland based male Optometrist with 39 years of experience in Optometry. He completed his graduation from Pennsylvania State University College Of Medicine in 1985. 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 Kisamore is TA0917 for Optometry in Maryland.
Kenneth Kisamore 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 Kisamore 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: 39+ years
Medical School Attended:Pennsylvania State University College Of Medicine
Graduation Year:1985
Gender:Male
Accepts Medicare Assignment:Yes
Practice Address:14929 Shady Grove Rd Unit K, Rockville,
Maryland, 20850-7728
Phone:301-424-1050
Fax:301-424-3184
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: 4082717475
Enrollment ID: I20070305000351
NPI Number: 1154364800
NPI Enumeration Date: 13 Jun, 2006
NPI Last Update On: 10 Dec, 2021

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 Kisamore are as mentioned below.
License NumberSpecializationStateStatus
TA0917Optometry MarylandPrimary
0618001710Optometry VirginiaSecondary
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 Kisamore has association with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Rockville Optometry, Llc (8729180112)3
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 1950 Old Gallows Rd Ste 520,
Vienna, Virginia
Zip: 22182-3970
Phone Number: 703-847-8899
Fax Number: 866-795-4020
Patients can reach Kenneth Kisamore at 14929 Shady Grove Rd Unit K, Rockville, Maryland or can call to book an appointment on 301-424-1050. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.

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