KENNETH CHARLES DETRING O.D.
NPI 1093797052
Optometrist in Jackson, MO

Q: What is Kenneth Detring's NPI number?

The NPI number for Kenneth Detring is 1093797052. It was assigned to this individual provider in the NPPES registry on November 16, 2005.

Q: What is Kenneth Detring's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Detring was last updated on February 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 16, 2005

1014 E JACKSON BLVD, JACKSON, MO 63755(573) 243-2020(573) 243-6684 Get Directions Write a Review

NPPES record last updated: February 28, 2008. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Kenneth Charles Detring O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH CHARLES DETRING O.D. (NPI 1093797052) is an individual optometrist in Jackson, Missouri, licensed in Missouri (TO2426) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1093797052

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameKENNETH CHARLES DETRINGCredential: O.D.

Location Address1014 E JACKSON BLVDJackson, MO 63755-2436

Mailing AddressPo Box 510Jackson, MO 63755-0510 · (573) 243-2020 · Fax (573) 243-6684

Phone(573) 243-2020

Fax(573) 243-6684

Sole ProprietorYes

Enumeration DateNovember 16, 2005

Last NPPES UpdateFebruary 28, 2008

✔ NPI 1093797052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in MO · TO2426

Definition

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.

1014 E JACKSON BLVD, Jackson, MO 63755

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Other Identifiers 2

Medicare NSC0348270001MO

Medicare UPINT42576MO

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Detring's NPI number?

The NPI number for Kenneth Detring is 1093797052. It was assigned to this individual provider in the NPPES registry on November 16, 2005.

Where is Kenneth Detring located?

Kenneth Detring practices at 1014 E Jackson Blvd, Jackson, MO 63755. The listed phone number is (573) 243-2020.

What is Kenneth Detring's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Kenneth Detring was last updated on February 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.