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

Kenneth Graham Crutchfield, OD

Individual provider Optometrist · NPI 1093916223

Kenneth Graham Crutchfield, OD is an Optometrist in Jefferson City, Missouri. Practices as a sole proprietor. Licensed in Missouri, Texas and Virginia.

Licensed in
MO, TX, VA
In the registry since
2007
Specialties on file
3
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

310 Kent St
Jefferson City, MO 65109-6107
Phone: (573) 659-7363
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence T02684 (MO)
Optometrist Taxonomy 152W00000X · Licence 0601001489 (VA)
Optometrist Taxonomy 152W00000X · Licence 04962T (TX)

Record details

NPI number1093916223
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedMay 28, 2007
Last updated in NPPESJuly 8, 2007

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