Kevin K.E. Carl, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

KEVIN K.E. CARL, O.D.

Practice address

1200 Winchester Dr
Sedalia, MO 65301-2467

Phone

(660) 826-2642

Fax

(660) 826-6748

NPI assigned

Jun 10, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Kevin Carl, O.D.NPI 1326043787

Title

Optometrist

Phone

(660) 826-2642

Specialties & licenses 1

Addresses

Other names 1

• Eye Clinic Doing business as

Tax ID family

Eye Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Kevin K.E. Carl, O.D. Dba Eye Clinic

  • Optometrist
  • Versailles, MO
  • NPI 1174561773
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin Kyle Edward Carl, O.D.

  • Optometrist
  • Sedalia, MO
  • NPI 1326043787
  NPD (past) Authorized official

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770524522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 WINCHESTER DR",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653012467",
            "telephone_number": "660-826-2642",
            "fax_number": "660-826-6748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 WINCHESTER DR",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653012467",
            "telephone_number": "660-826-2642",
            "fax_number": "660-826-6748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN K.E. CARL, O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARL",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "660-826-2642",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeffrey Keller, DPT
• Stephanie Kelley, PHARMD
• Kathy J. Kempton, LPC
• Kenneth N. Azan, M.D., PC
• Darby William Kernohan, RPH
• Connie E Kiburz, CRNA
• Douglas W Kiburz, MD
• Michelle Ann Kindler, O.D.
• Richard King, D.C.
• Jason Kingsolver

• All providers in Sedalia, MO
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.