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RANDOLPH C. KINKADE
NPI 1407042054
Optometrist in New Milford, CT

Active since September 18, 2007
1 OLD PARK LN, NEW MILFORD, CT 06776(860) 355-2655(860) 355-2656 Get Directions Write a Review

NPPES record last updated: April 22, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Randolph C. Kinkade NPPES

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

RANDOLPH C. KINKADE (NPI 1407042054) is a healthcare organization registered as an optometrist in New Milford, Connecticut and active in the NPI registry since September 2007. The organization lists Randolph C Kinkade, Optometrist, as its authorized official.

NPPES Registry Identity

NPI1407042054
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameRANDOLPH C. KINKADE
Location Address1 OLD PARK LNNew Milford, CT 06776-2562
Mailing Address1 Old Park LnNew Milford, CT 06776-2562 · (860) 355-2655 · Fax (860) 355-2656
Phone(860) 355-2655
Fax(860) 355-2656
Organization SubpartNo
Authorized OfficialRandolph C KinkadeOptometrist · (860) 355-2655
Enumeration DateSeptember 18, 2007
Last NPPES UpdateApril 22, 2008
✔ NPI 1407042054 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 CT · 935
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.
1 OLD PARK LN, New Milford, CT 06776
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Other Identifiers 2

Medicare UPINCO1899CT
Medicare NSC0257700002

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PETER ANDERSON
Family Medicine
1 OLD PARK LN, SUITE 2
NEW MILFORD, CT 06776
Western Connecticut Planning Region (860) 355-3728

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 Randolph C. Kinkade's NPI number?

The NPI number for Randolph C. Kinkade is 1407042054. It was assigned to this organization in the NPPES registry on September 18, 2007.

Where is Randolph C. Kinkade located?

Randolph C. Kinkade is located at 1 Old Park Ln, New Milford, CT 06776. The listed phone number is (860) 355-2655.

What is Randolph C. Kinkade'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 Randolph C. Kinkade was last updated on April 22, 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.