Kenneth R Lord, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

AZ0486 Issued in AZ

Practice address

6987 N Oracle Rd
Tucson, AZ 85704-4224

Phone

(520) 297-2501

Fax

(520) 297-9496

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280793600000",
    "number": "1245341809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 N ALVERNON WAY",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857111958",
            "telephone_number": "520-327-6215",
            "fax_number": "520-327-6546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6987 N ORACLE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857044224",
            "telephone_number": "520-297-2501",
            "fax_number": "520-297-9496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORD",
        "first_name": "KENNETH",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "AZ0486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "049777",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Lopresti, LCSW
• Jennifer Anne Lopshire
• Toni M Loquasto Bequette, MA PROF. COUNSELING
• Claudia Cassidy Lorber, LCSW
• Carol A Lord, PA
• Lisa Dionne Loree, PH.D
• Loren S Wessel DPM
• David Charles Lorenz, MD
• Kierstin Elizabeth Lorenz, DDS
• Kristin W Lorenz, DO

• Optometrist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.