KENNETH GRAHAM CRUTCHFIELD O.D.
NPI 1093916223
Optometrist in Jefferson City, MO

Q: What is Kenneth Crutchfield's NPI number?

The NPI number for Kenneth Crutchfield is 1093916223. It was assigned to this individual provider in the NPPES registry on May 28, 2007.

Q: What is Kenneth Crutchfield's specialty?

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

Active since May 28, 2007

310 KENT ST, JEFFERSON CITY, MO 65109(573) 659-7363 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Kenneth Graham Crutchfield O.d. NPPES

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

KENNETH GRAHAM CRUTCHFIELD O.D. (NPI 1093916223) is an individual optometrist in Jefferson City, Missouri, licensed in Missouri (T02684) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1093916223

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameKENNETH GRAHAM CRUTCHFIELDCredential: O.D.

Location Address310 KENT STJefferson City, MO 65109-6107

Mailing Address310 Kent StJefferson City, MO 65109-6107 · (573) 659-7363

Phone(573) 659-7363

Sole ProprietorYes

Enumeration DateMay 28, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1093916223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Licenses✔ Licensed in MO · T02684✔ Licensed in VA · 0601001489✔ Licensed in TX · 04962T

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.

310 KENT ST, Jefferson City, MO 65109

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Other Identifiers 1

Medicare UPINU52965MO

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 Crutchfield's NPI number?

The NPI number for Kenneth Crutchfield is 1093916223. It was assigned to this individual provider in the NPPES registry on May 28, 2007.

Where is Kenneth Crutchfield located?

Kenneth Crutchfield practices at 310 Kent St, Jefferson City, MO 65109. The listed phone number is (573) 659-7363.

What is Kenneth Crutchfield'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 Crutchfield was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.