Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH KISAMORE, OD
ActiveOptometrist · ROCKVILLE, MD
Registration Details
- NPI Number
- 1154364800
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 13, 2006 (19.85425576904 yrs)
- Last Updated
- Jul 24, 2024
- Licenses
-
0618001710 (VA)TA0917 (MD)
Practice Information
- Address
-
14929 SHADY GROVE RD UNIT KROCKVILLE, MD, 208507728Browse MD providers · Browse ZIP 20850
- Phone
- 3014241050
- Fax
- 3014243184
- Primary Specialty
-
Optometrist
152W00000X
- Additional Specialty
- Optometrist
Other Optometrist Providers in ROCKVILLE, MD
| Name | Credential | NPI |
|---|---|---|
| DR. KIMOANH THAI | O.D. | 1992776926 |
| DR. MICHAEL B CHAIT | O.D. | 1184665341 |
| MS. MAHTAB VAZIRI | OD | 1568405215 |
| ANGELA GRILLO | O.D. | 1245337583 |
| DR. WENDY S ROTHMAN | O.D. | 1336240480 |
| DR. HANNAH YECHESKEL NEUBAUER | O.D. | 1770683898 |
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.