David Michael Kincaid, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

836 Issued in NE

Practice address

1000 W 29TH St
Suite 302
South Sioux City, NE 68776-3153

Phone

(402) 494-5533

Fax

(402) 494-5534

NPI assigned

Jul 26, 2006

Last updated

Oct 26, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NE

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DRS Kincaid and FettGroup PAC ID 6305736000, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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. Kincaid and Fett

  • Eyewear Supplier
  • South Sioux City, NE
  • NPI 1912091554

  Optometrist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193356800000",
    "number": "1992729024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W 29TH ST",
            "address_2": "SUITE 302",
            "city": "SOUTH SIOUX CITY",
            "state": "NE",
            "postal_code": "687763153",
            "telephone_number": "402-494-5533",
            "fax_number": "402-494-5534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W 29TH ST",
            "address_2": "SUITE 302",
            "city": "SOUTH SIOUX CITY",
            "state": "NE",
            "postal_code": "687763153",
            "telephone_number": "402-494-5533",
            "fax_number": "402-494-5534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINCAID",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "0672565492",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0964577",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natasha Ann Keller, MA, PLMHP, NCC
• Horace Michael Kemp
• Ronald Jason Kemp
• Trina Kennelly, M.S.
• Daniel James Kincaid, O.D.
• Lilian Kleinberg
• Kristine Kleve, PT
• Joyce M Klimek, LSW, LMHP
• Jessica J Klopper, PLMHP
• Amy L Knippling, DPT

• Optometrist in South Sioux City, NE
• Providers in South Sioux City, NE by specialty
• Optometrist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.