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

Dr. Kevin William Clogg, OD

Individual provider Optometrist · NPI 1568762995

Dr. Kevin William Clogg, OD is an Optometry in Rochester, New York. Graduated from Pennsylvania College of Optometry in 2006, 20 years ago. Practices with Steve B. Park MD PC, a 14-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
20
Trained at
Pennsylvania College of Optometry
Licensed in
NY
In the registry since
2010
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

2300 Buffalo Rd Bldg 700
Rochester, NY 14624-1367
Phone: (585) 328-0153
Fax: (585) 328-0158
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence TUV007652-1 (NY)

Record details

NPI number1568762995
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedNovember 2, 2010
Last updated in NPPESNovember 2, 2010

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolPENNSYLVANIA COLLEGE OF OPTOMETRY
Graduated 2006 (20 years in practice)
Group practice Steve B. Park Md Pc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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