Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Leroy Taylor Kincannon III, O.D.

Optometrist in Grand Rapids, MN · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1528173846

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Registry record

Entity type Individual (Type 1)

Name Dr. Leroy Taylor Kincannon III

Credential O.D.

Sex Male

Practice address 1542 Golf Course Rd, Suite 201, Grand Rapids, MN, 55744

Phone (218) 326-3433

Fax (218) 326-3435

Enumeration date Aug 19, 2006

Last updated in NPPES Jul 8, 2007

Taxonomy & licenses

152W00000X Optometrist Eye and Vision Services Providers · License 2466 (MN) Primary

OD · Doctor of Optometry: A licensed optometrist providing primary vision care, eye exams, and corrective lenses. About the OD credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Leroy Kincannon?

The National Provider Identifier (NPI) for Leroy Kincannon is 1528173846, a Type 1 (individual) record in the CMS NPPES registry.

Where does Leroy Kincannon practice?

The practice location on file with NPPES is in Grand Rapids, MN. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-07-08.