Active NPI
Andrew Joseph Kender Jr., O.D.
- Optometrist
- Dayton, OH
National Provider Identifier
1760596910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3129
- Practice address
- 813 Troy St
Dayton, OH 45404-1852 - Phone
- (937) 620-9964
- NPI assigned
- Aug 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3129 | OH | Primary |
Addresses
Primary practice location
813 Troy St
Dayton, OH 45404-1852
Mailing address
977 Township Road 2946
Perrysville, OH 44864
Phone (937) 620-9964
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 310928411035 | Other | OH | CARE SOURCE |
| 0330449 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3129 | OH | MD | Sports Physician Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200614400000",
"number": "1760596910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "977 TOWNSHIP ROAD 2946",
"city": "PERRYSVILLE",
"state": "OH",
"postal_code": "44864",
"telephone_number": "937-620-9964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "813 TROY ST",
"city": "DAYTON",
"state": "OH",
"postal_code": "454041852",
"telephone_number": "937-620-9964"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENDER JR.",
"first_name": "ANDREW",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-17",
"last_updated": "2008-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "3129",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE SOURCE",
"identifier": "310928411035",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0330449",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.