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

Dr. Kevin Thomas Willeford, OD, MS

Individual provider Optometrist · NPI 1922413558

Dr. Kevin Thomas Willeford, OD, MS is an Optometry in Davie, Florida. Graduated from State University of New York - State College Optometry in 2014, 12 years ago. Practices with Nova Southeastern University Inc, a 94-clinician group and accepts Medicare assignment. Licensed in Florida and New York.

Years since qualifying
12
Trained at
State University of New York - State College Optometry
Licensed in
FL, NY
In the registry since
2014
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.
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

3200 S University Dr
Davie, FL 33328-2018
Phone: (954) 262-4200
Fax: (954) 262-3217
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPFC96 (FL)
Optometrist Taxonomy 152W00000X · Licence TUV008192-1 (NY)

Record details

NPI number1922413558
Entity typeIndividual (Type 1)
GenderMale
Credentials OD , MS
Sole proprietorNo
NPI enumeratedJune 23, 2014
Last updated in NPPESFebruary 27, 2020
Certification dateFebruary 27, 2020

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 2014 (12 years in practice)
Group practice Nova Southeastern University Inc — 94 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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