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

Dr. Kevin Jacob Dittlinger, OD

Individual provider Pediatric Optometrist · NPI 1114411451

Dr. Kevin Jacob Dittlinger, OD is an Optometry in Saint Louis, Missouri. Graduated from University of Missouri St Louis - School of Optometry in 2018, 8 years ago. Practices with Northwest Eye Care LLC, a 6-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
8
Trained at
University of Missouri St Louis - School of Optometry
Licensed in
MO
In the registry since
2018
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.

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Practice location Address checks out

7840 Natural Bridge Blvd Patient Care Ctr
Saint Louis, MO 63121
Phone: (314) 516-5131
Fax: (314) 516-5507
Show map & directions

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

Additional practice locations (1)

  • 3940 Lindell Blvd, Saint Louis, MO 63108-3204 — (314) 516-5016

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2018021087 (MO)
Pediatric Optometrist Taxonomy 152WP0200X · Licence 2018021087 (MO)

Record details

NPI number1114411451
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJune 20, 2018
Last updated in NPPESFebruary 27, 2019

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolUNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Graduated 2018 (8 years in practice)
Group practice Northwest Eye Care Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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