Brian K Kindel OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2001017654 Issued in MO

Legal business name

BRIAN K KINDEL OD PC

Practice address

653 Gravois Bluffs Blvd
Fenton, MO 63026-7715

Phone

(636) 326-5389

Fax

(636) 326-9960

NPI assigned

Nov 15, 2007

Last updated

Nov 15, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Brian Kenneth Kindel, O.D.NPI 1114943024

Title

President

Phone

(636) 326-5389

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brian Kindel, O.D.

  • Optometrist
  • Fenton, MO
  • NPI 1114943024
  Medicare reassignment NPD Authorized official
• Susanne S. Kindel, O.D.

  • Optometrist
  • Fenton, MO
  • NPI 1053351171
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1013198381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 GRAVOIS BLUFFS BLVD",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630267715",
            "telephone_number": "636-326-5389",
            "fax_number": "636-326-9960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 GRAVOIS BLUFFS BLVD",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630267715",
            "telephone_number": "636-326-5389",
            "fax_number": "636-326-9960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN K KINDEL OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "KINDEL",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-326-5389",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2001017654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maged Boules
• Lawrence Vincent Boveri, MD
• Stephen Angelo Boveri, MD
• Michelle E Braun, RN BSN
• Amanda Nicole Breedlove, PNP
• Jacob Daniel Briegleb, DC
• Lindsey N Bright, CRNA
• Brookwood LLC
• Allison Kate Brown, FNP
• Kevin Eugene Bruce, RPH

• Optometrist in Fenton, MO
• Providers in Fenton, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.