Kenneth D. Strong, O.D.
Individual provider Active NPI Optometrist · Elba, AL
NPI 1508897331 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1508897331
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- S383 (AL)
- Practice address
- 910 N Claxton Ave
Elba, AL 36323-0768 - Phone
- (334) 897-5100
- Fax
- (334) 897-3632
- NPI assigned
- Jul 6, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S383 | AL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joshua Driver PC | Optometrist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | S383 | AL | Yes |
Addresses
Primary practice location
910 N Claxton Ave
Elba, AL 36323-0768
Mailing address
PO Box 768
Elba, AL 36323-0768
Phone (334) 897-5100
Other providers in Elba, AL
- Pea River Emergency Physicians
- Mitchell V Purvis
- Southeast Pharmaceuticals, Inc
- Southeast Pharmaceuticals, Inc.
- State of Alabama Department of Public Health
- The Health Care Authority of Elba Alabama
- The Healthcare Authority of Elba Alabama
- The Healthcare Authority of Elba, Alabama
- Kristi Williams
- Taylor Renee Zito
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.