Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kenneth L. Stack, OD

Individual provider Optometrist · NPI 1093756371

Dr. Kenneth L. Stack, OD is an Optometry in Albany, New York. Graduated from State University of New York - State College Optometry in 1985, 41 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New York.

Years since qualifying
41
Trained at
State University of New York - State College Optometry
Licensed in
NY
In the registry since
2006
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

24 Rosemont St
Albany, NY 12203-2405
Phone: (518) 438-6669
Fax: (518) 489-4372
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence TUV004607-1 (NY)

Record details

NPI number1093756371
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedJune 9, 2006
Last updated in NPPESOctober 24, 2011
Mailing address24 Rosemont St, Albany, NY 12203-2405

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolSTATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY
Graduated 1985 (41 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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