DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KENNETH GRAHAM CRUTCHFIELD, O.D.

Active Sole Proprietor

KENNETH GRAHAM CRUTCHFIELD, O.D. is a Optometrist healthcare provider located in JEFFERSON CITY, Missouri. NPI 1093916223 is currently active in the NPPES registry. Verify at CMS.

Optometrist · JEFFERSON CITY, MO

Registration Details

NPI Number
1093916223
Provider Type
Individual
Gender
Male
NPI Issued
May 28, 2007 (19.207545196676 yrs)
Last Updated
Jul 8, 2007
Licenses
T02684 (MO)
0601001489 (VA)
04962T (TX)
Sole Proprietor
Yes

Practice Information

Address
310 KENT ST
JEFFERSON CITY, MO, 651096107
Browse MO providers · Browse ZIP 65109
Phone
5736597363
Primary Specialty
Optometrist
152W00000X
Additional Specialty
Optometrist
Additional Specialty
Optometrist

Other Optometrist Providers in JEFFERSON CITY, MO

Name Credential NPI
DR. MARK A MANARY O.D. 1972594224
DR. ELIZABETH PAIGE HEDGPATH O.D. 1669441630
DR. THOMAS F GREENE O.D. 1124050588
MARC ALVIN FRANKE O.D. 1093735631
DR. MICHELE LEIGH HALEY O.D. 1144333675
DR. FREDERICK EARL BODENHAMER O.D. 1134255243
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.