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

Kenneth Alan Rousselo, ODPC

Individual provider Optometrist · NPI 1578530879

Kenneth Alan Rousselo, ODPC is an Optometry in Cary, North Carolina. Qualified in 1989, 37 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
37
Licensed in
NC
In the registry since
2006
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Practice location Address checks out

258 Towne Village Dr
Cary, NC 27513-8910
Phone: (919) 467-4657
Fax: (919) 462-0199
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 1466 (NC)

Record details

NPI number1578530879
Entity typeIndividual (Type 1)
GenderMale
Credentials ODPC
Sole proprietorYes
NPI enumeratedMarch 6, 2006
Last updated in NPPESMarch 15, 2016

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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