Individual provider Active NPI

Kenneth M Kuhn, O.D.

  • Optometrist
  • Niles, OH
National Provider Identifier
1811901408
Registry record updated Jun 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4118/T307 Issued in OH
Practice address
234 Robbins Ave Ste C
Niles, OH 44446-1769
Phone
(330) 574-5030
Fax
(330) 574-5036
NPI assigned
Jul 28, 2006
Last updated
Jun 26, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4118/T307 OH Primary

Addresses

Primary practice location

234 Robbins Ave Ste C
Niles, OH 44446-1769

Mailing address

234 Robbins Ave Ste C
Niles, OH 44446-1769
Phone (330) 574-5030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050822001233 OH Practitioner - Optometry 1557391570 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
4118/T307OHMDOptometrist
4118OHMDNursing Home Administrator

Practice roles

OrganizationSpecialtyStatusNew patients
Niles Center for Sight LLC Optometrist CurrentSince Sep 1, 2022 Accepting new patients
Niles Center for Sight LLC CurrentSince Nov 27, 2022 Accepting new patients
Surgical Success Past Accepting new patients

Locations

234 Robbins Ave
Ste C
Niles, OH 44446
Phone (330) 545-5214

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561507200000",
    "number": "1811901408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 ROBBINS AVE STE C",
            "city": "NILES",
            "state": "OH",
            "postal_code": "444461769",
            "telephone_number": "330-574-5030",
            "fax_number": "330-574-5036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 ROBBINS AVE STE C",
            "city": "NILES",
            "state": "OH",
            "postal_code": "444461769",
            "telephone_number": "330-574-5030",
            "fax_number": "330-574-5036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUHN",
        "first_name": "KENNETH",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2019-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4118/T307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, OH

Sources for this page

Verify at the official NPI Registry.