National Provider Identifier Database

KEVIN A SKIDMORE, OD – NPI #1093060188
Optometrist

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.


Contact Information

KEVIN A SKIDMORE, OD
854 RIDGEWOOD DRIVE
BEREA, KY40403
Phone: 859-986-7027
Fax: 859-986-4749
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for KEVIN A SKIDMORE

NPI Number 1093060188
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 07/16/2012
Last updated 09/17/2020 - About 6 years ago
Sole proprietor1 Yes
Identifiers
  • KY License #: 1913DT
  • OH License #: OPT.6159-THER
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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