Kenneth S Calhoun, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC2693 Issued in FL

Practice address

6729 Colonnade Ave Ste 109
Viera, FL 32940-6119

Phone

(321) 639-3649

Fax

(321) 639-3649

NPI assigned

Dec 29, 2005

Last updated

Apr 4, 2018By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• DRS. Converse & Lessard, P.a.

  • Optometrist
  • Lakeland, FL
  • NPI 1659302313
  NPD (past)
• Pastore-Tran Eyecare, Inc.

  • Optometrist
  • Rockledge, FL
  • NPI 1700979424
  NPD (past)

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522800000000",
    "number": "1730166810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3213 MONITOR LN",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "329031829",
            "telephone_number": "321-693-5150",
            "fax_number": "863-646-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6729 COLONNADE AVE STE 109",
            "city": "VIERA",
            "state": "FL",
            "postal_code": "329406119",
            "telephone_number": "321-639-3649",
            "fax_number": "321-639-3649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALHOUN",
        "first_name": "KENNETH",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2018-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy S Burden, LCSW
• Laura Jeanne Burgess, MSN, FNP-BC
• Jessica Burkhardt, PHARMD
• Natalie Cabrera
• Erin Caleb
• Jorge Carbajosa, LCSW
• Carnol Health Services
• John William Carroll, LCSW
• Leah Miriam Cawby, RN
• Jenna Nicole Cervi, PHARM.D.

• Optometrist in Viera, FL
• Providers in Viera, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2018; 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.