Dr Todd Alan Kenmore, OD - Medicare Optometrist in Moore, OK

Dr Todd Alan Kenmore, OD is a medicare enrolled "Optometrist" provider in Moore, Oklahoma. He graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Optometry. His current practice location is 513 N Telephone Rd, Moore, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (405) 799-3030.

Dr Todd Alan Kenmore is licensed to practice in Oklahoma (license number 2366) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1508870437.

Contact Information

Dr Todd Alan Kenmore, OD
513 N Telephone Rd,
Moore, OK 73160-4938
(405) 799-3030
(405) 799-3737



Healthcare Provider's Profile

Full NameDr Todd Alan Kenmore
GenderMale
SpecialityOptometry
Experience22 Years
Location513 N Telephone Rd, Moore, Oklahoma
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Todd Alan Kenmore graduated from medical school in 2002
  NPI Data:
  • NPI Number: 1508870437
  • Provider Enumeration Date: 07/28/2006
  • Last Update Date: 02/07/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 5193797488
  • Enrollment ID: I20040807000257

Medical Identifiers

Medical identifiers for Dr Todd Alan Kenmore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508870437NPI-NPPES
200019180BMedicaidOK
010814058OtherOKTAX ID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 2366 (Oklahoma)Primary
152WC0802XOptometrist - Corneal And Contact Management 2366 (Oklahoma)Secondary
152WL0500XOptometrist - Low Vision Rehabilitation 2366 (Oklahoma)Secondary
152WP0200XOptometrist - Pediatrics 2366 (Oklahoma)Secondary
152WS0006XOptometrist - Sports Vision 2366 (Oklahoma)Secondary
152WV0400XOptometrist - Vision Therapy 2366 (Oklahoma)Secondary
152WX0102XOptometrist - Occupational Vision 2366 (Oklahoma)Secondary
332B00000XDurable Medical Equipment & Medical Supplies 2366 (Oklahoma)Secondary
332H00000XEyewear Supplier 2366 (Oklahoma)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Todd Alan Kenmore allows following entities to bill medicare on his behalf.
Provider NameKenmore Eyecare Center
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1356524011
PECOS PAC ID: 4981676798
Enrollment ID: O20040811001166

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Todd Alan Kenmore is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Todd Alan Kenmore, OD
513 N Telephone Rd,
Moore, OK 73160-4938

Ph: (405) 799-3030
Dr Todd Alan Kenmore, OD
513 N Telephone Rd,
Moore, OK 73160-4938

Ph: (405) 799-3030

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Optometrist in Moore, OK

Orlando A Diaz Od
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 660 Sw 19th St Ste G, Moore, OK 73160
Phone: 405-794-0176    Fax: 405-794-0176
Total Vision Care
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 705 Sw 19th St Ste 160b, Moore, OK 73160
Phone: 405-790-0393    Fax: 405-790-0395
Dr. Elizabeth Lorayne Burkhart, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 2909 S Telephone Rd, Moore, OK 73160
Phone: 405-799-7510    Fax: 405-799-4742
Dr. Gary Lee Wade, O.D.
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 306 Se 4th St, Moore, OK 73160
Phone: 405-794-2020    Fax: 405-794-3768
Massengale Eye Care, Pllc
Optometrist
Medicare: Medicare Enrolled
Practice Location: 2828 N Broadway St, Moore, OK 73160
Phone: 405-631-2020    Fax: 405-631-2114
Kenmore Eyecare Center
Optometrist
Medicare: Medicare Enrolled
Practice Location: 513 N Telephone Rd, Moore, OK 73160
Phone: 405-799-3030    Fax: 405-799-3737
Dr. Orlando A Diaz, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 660 Sw 19th St Ste G, Moore, OK 73160
Phone: 405-794-0176    

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