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KENNETH JOHN SUPPES OD
NPI 1972617355
Optometrist in Saginaw, MI

Active since August 19, 2006
1885 N CENTER RD, SAGINAW, MI 48638(989) 792-6627 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kenneth John Suppes Od NPPES

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

KENNETH JOHN SUPPES OD (NPI 1972617355) is an individual optometrist in Saginaw, Michigan, licensed in Michigan (4901002383) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1972617355
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameKENNETH JOHN SUPPESCredential: OD
Location Address1885 N CENTER RDSaginaw, MI 48638-5565
Mailing Address1885 N Center RdSaginaw, MI 48638-5565 · (989) 792-6627
Phone(989) 792-6627
Sole ProprietorNo
Enumeration DateAugust 19, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1972617355 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 MI · 4901002383
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.
1885 N CENTER RD, Saginaw, MI 48638
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Other Identifiers 2

Medicare UPINT33559MI
Medicaid4742508MI

Other Providers at the Same Location NPPES 3

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

DR. C. STEVEN KOCKS O.D.
Optometrist
1885 N CENTER RD
SAGINAW, MI 48638
Saginaw County (989) 792-8686
ASSOCIATES IN EYECARE, PLC
Optometrist
1885 N CENTER RD
SAGINAW, MI 48638
Saginaw County (989) 792-8686
ASSOCIATES IN EYECARE, PLC
Durable Medical Equipment & Medical Supplies
1885 N CENTER RD
SAGINAW, MI 48638
Saginaw County (989) 792-8686

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 Suppes's NPI number?

The NPI number for Kenneth Suppes is 1972617355. It was assigned to this individual provider in the NPPES registry on August 19, 2006.

Where is Kenneth Suppes located?

Kenneth Suppes practices at 1885 N Center Rd, Saginaw, MI 48638. The listed phone number is (989) 792-6627.

What is Kenneth Suppes'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 Suppes 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.