KEVIN ROBERT KICKHAM OD
NPI 1912113713
Optometrist in Springfield, MO

Q: What is Kevin Kickham's NPI number?

The NPI number for Kevin Kickham is 1912113713. It was assigned to this individual provider in the NPPES registry on May 16, 2007.

Q: What is Kevin Kickham'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 Kevin Kickham was last updated on July 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 May 16, 2007

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

NPPES record last updated: July 11, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kevin Robert Kickham Od NPPES

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

KEVIN ROBERT KICKHAM OD (NPI 1912113713) is an individual optometrist in Springfield, Missouri, licensed in Missouri (T02770) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1912113713

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameKEVIN ROBERT KICKHAMCredential: OD

Location Address1308 E BATTLEFIELDSpringfield, MO 65804

Mailing Address1308 E BattlefieldSpringfield, MO 65804 · (417) 890-7599 · Fax (417) 886-6484

Phone(417) 890-7599

Fax(417) 886-6484

Sole ProprietorNo

Enumeration DateMay 16, 2007

Last NPPES UpdateJuly 11, 2013

✔ NPI 1912113713 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 4

OtherP00256828MO · Railroad Medicare

Medicaid315387803MO

Medicare UPINU30760

Medicare ID-Type Unspecified256104298MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

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 R KICKHAM LLC

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 Kickham's NPI number?

The NPI number for Kevin Kickham is 1912113713. It was assigned to this individual provider in the NPPES registry on May 16, 2007.

Where is Kevin Kickham located?

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

What is Kevin Kickham's specialty?

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

What insurance does Kevin Kickham accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 8 other insurers list Kevin Kickham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kevin Kickham was last updated on July 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.