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

Kevin So, OD

Individual provider Optometrist · NPI 1710110390

Kevin So, OD is an Optometry in Waterbury, Connecticut. Graduated from New England College of Optometry in 2008, 18 years ago. Practices with Myeyedr Optometry of Connecticut LLC, a 69-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
18
Trained at
New England College of Optometry
Licensed in
CT
In the registry since
2009
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

604 Lakewood Rd
Waterbury, CT 06704-2419
Phone: (203) 575-0900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2754 (CT)

Record details

NPI number1710110390
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedAugust 28, 2009
Last updated in NPPESOctober 24, 2024
Certification dateOctober 24, 2024
Mailing address8614 Westwood Center Dr Fl 9, Vienna, VA 22182-2442

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolNEW ENGLAND COLLEGE OF OPTOMETRY
Graduated 2008 (18 years in practice)
Group practice Myeyedr Optometry Of Connecticut Llc — 69 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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