Kevin R Kickham LLC

Kevin R Kickham LLC is a healthcare organization registered as Optometrist in Springfield, MO, holding Type 2 (organization) NPI 1548476344 since 2007. The authorized official on file is Kevin Kickham, Optometrist Owner.

✓ Active NPI ✓ Valid NPI checksum

NPI	1548476344
Entity type	Organization (Type 2)
Legal business name	Kevin R Kickham LLC
Practice address	1308 E BATTLEFIELD, Springfield, MO, 65804
Phone	4178907599
Fax	4178866484
Enumeration date	2007-05-16
Last updated in NPPES	2016-02-05

Authorized official

Name	Kevin Kickham
Title	Optometrist Owner
Phone	4178907599

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
152W00000X	Optometrist	Primary	T02770	MO

Other identifiers

Identifier	Type	State	Issuer
315387803	Medicaid	MO	—
P00256828	Other	MO	RAILROAD MEDICARE
000014298	Other	MO	MEDICARE PTAN

Copy-ready billing details

Provider: Kevin R Kickham LLC
NPI: 1548476344
Taxonomy: 152W00000X (Optometrist)
Address: 1308 E BATTLEFIELD, Springfield, MO, 65804

Providers at this address

NPI	Name	Type	Specialty	Location
1912113713	Kevin Kickham	Individual	Optometrist	Springfield, MO

Verify this record

Cross-check NPI 1548476344 against the authoritative CMS record: view Kevin R Kickham LLC on the official NPPES registry .

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. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Kevin R Kickham LLC located?

The practice location on file with NPPES is in Springfield, MO.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2016-02-05. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2016-02-05.