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

Dr. Kevin Allen Skidmore, OD

Individual provider Optometrist · NPI 1093060188

Dr. Kevin Allen Skidmore, OD is an Optometry in Berea, Kentucky. Graduated from Ohio State University - College of Optometry in 2012, 14 years ago. Practices with Dr Gary E. King Optometrist PSC, a 5-clinician group and accepts Medicare assignment. Licensed in Kentucky and Ohio.

Years since qualifying
14
Trained at
Ohio State University - College of Optometry
Licensed in
KY, OH
In the registry since
2012
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

See every abbreviation used in this directory →

Practice location Address checks out

854 Ridgewood Dr
Berea, KY 40403
Phone: (859) 986-7027
Fax: (859) 986-4749
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 1913DT (KY)
Optometrist Taxonomy 152W00000X · Licence OPT.6159-THER (OH)

Record details

NPI number1093060188
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedJuly 16, 2012
Last updated in NPPESSeptember 17, 2020
Certification dateSeptember 15, 2020

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated 2012 (14 years in practice)
Group practice Dr. Gary E. King Optometrist Psc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Berea