Dr. Kenneth W Kimmell , OD
Optometrist • Sullivan, IN
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Kenneth Kimmell has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Kenneth Kimmell, OD was a registered Optometrist practicing in Sullivan, IN. Throughout an active medical career spanning 18 years, Dr. Kimmell provided care at the practice location at 11 EAST JACKSON STREET until profile deactivation on 2025-06-26.
Practice Location & Contact Primary Location
11 East Jackson Street
Sullivan, IN 478821502
Specialty Benchmarks & Practice Insights
Comparative analytics for Optometrist in Sullivan, IN
Practicing in Sullivan, IN (1644 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 152W00000X
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on June 26, 2025
NPI status registered as active in NPPES database
Registered at 11 EAST JACKSON STREET, SULLIVAN, IN 478821502 (Tel: 8122686468)
Registered at 11 EAST JACKSON STREET, SULLIVAN, IN 478821502 (Tel: 8122686468)
Recorded as KENNETH KIMMELL, OD
Optometrist (License #18001342A in IN)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
11 East Jackson Street
Sullivan, IN 478821502
Phone: 8122686468
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