KEVIN R KICKHAM LLC
NPI 1548476344
Optometrist in Springfield, MO
NPI Status: Active since May 16, 2007
Contact Information
1308 E BATTLEFIELD
SPRINGFIELD, MO
ZIP 65804
Phone: (417) 890-7599
Fax: (417) 886-6484
- Organization
- Optometrist
About KEVIN R KICKHAM LLC
This page provides the complete NPI Profile along with additional information for Kevin R Kickham Llc, a provider established in Springfield, Missouri operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1548476344 assigned on May 2007. The practitioner's primary taxonomy code is 152W00000X with license number T02770 (MO). The provider is registered as an organization and their NPI record was last updated 10 years ago. Kevin R Kickham Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Kevin Robert Kickham Od (Optometrist Owner)
- NPI
- 1548476344
- Provider Name
- KEVIN R KICKHAM LLC
- Entity Type
- Organization
- Location Address
- 1308 E BATTLEFIELD SPRINGFIELD, MO 65804
- Location Phone
- (417) 890-7599
- Location Fax
- (417) 886-6484
- Mailing Address
- 1308 E BATTLEFIELD ST SPRINGFIELD, MO 65804
- Mailing Phone
- (417) 890-7599
- Mailing Fax
- (417) 886-6484
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-16-2007
- Last Update Date
- 02-05-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Optometrist
- Taxonomy Code
- 152W00000X
- Type
- Eye and Vision Services Providers
- License No.
- T02770
- License State
- MO
- Taxonomy Description
- Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists 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. An optometrist has 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. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000014298 | OTHER (01) | MO | MEDICARE PTAN |
| U30760 | MEDICARE UPIN (02) | ||
| 256104298 | MEDICARE ID-TYPE UNSPECIFIED (04) | MO | |
| P00256828 | OTHER (01) | MO | RAILROAD MEDICARE |
| 315387803 | MEDICAID (05) | MO |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 4 | 8 | 4 | 7 | 6 | 3 | 4 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 8 | 8 | 8 | 7 | 12 | 3 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 8 + 8 + 8 + 7 + 1 + 2 + 3 + 8 + 24 = 76 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 76 = 4 | 4 | ||||||||
The NPI number 1548476344 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1912113713 | KEVIN ROBERT KICKHAM OD Individual | Optometrist | 1308 E BATTLEFIELD SPRINGFIELD, MO 65804 (417) 890-7599 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1548476344, enumerated in the NPI registry as an "organization" on May 16, 2007
The provider is located at 1308 E Battlefield Springfield, Mo 65804 and the phone number is (417) 890-7599
This medical organization specializes in Optometrist with taxonomy code 152W00000X
The provider might be accepting Accepts: Medicare, Medicaid and Railroad Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on May 16, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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