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KEVIN R KICKHAM LLC
NPI 1548476344
Optometrist in Springfield, MO

Active since May 16, 2007
1308 E BATTLEFIELD, SPRINGFIELD, MO 65804(417) 890-7599(417) 886-6484 Get Directions Write a Review

NPPES record last updated: February 5, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kevin R Kickham Llc NPPES

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

KEVIN R KICKHAM LLC (NPI 1548476344) is a healthcare organization registered as an optometrist in Springfield, Missouri and active in the NPI registry since May 2007. The organization lists Kevin Robert Kickham, Optometrist Owner, as its authorized official.

NPPES Registry Identity

NPI1548476344
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameKEVIN R KICKHAM LLC
Location Address1308 E BATTLEFIELDSpringfield, MO 65804
Mailing Address1308 E Battlefield StSpringfield, MO 65804-3604 · (417) 890-7599 · Fax (417) 886-6484
Phone(417) 890-7599
Fax(417) 886-6484
Organization SubpartNo
Authorized OfficialKevin Robert KickhamOptometrist Owner · (417) 890-7599
Enumeration DateMay 16, 2007
Last NPPES UpdateFebruary 5, 2016
✔ NPI 1548476344 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 · T02770
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.
1308 E BATTLEFIELD, Springfield, MO 65804
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Other Identifiers 5

Other000014298MO · Medicare Ptan
Medicare UPINU30760
Medicare ID-Type Unspecified256104298MO
OtherP00256828MO · Railroad Medicare
Medicaid315387803MO

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.

KEVIN ROBERT KICKHAM OD
Optometrist
1308 E BATTLEFIELD
SPRINGFIELD, MO 65804
Greene County (417) 890-7599

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 Kevin R Kickham LLC's NPI number?

The NPI number for Kevin R Kickham LLC is 1548476344. It was assigned to this organization in the NPPES registry on May 16, 2007.

Where is Kevin R Kickham LLC located?

Kevin R Kickham LLC is located at 1308 E Battlefield, Springfield, MO 65804. The listed phone number is (417) 890-7599.

What is Kevin R Kickham LLC'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 Kevin R Kickham LLC was last updated on February 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.