Dr Kevin Daugherty, OD is a
Optometrist based in O'fallon, Missouri. Dr Kevin Daugherty is licensed to practice in Missouri (license number 2025023537) and his current practice location is
1307 State Hwy K, O'fallon, Missouri. He can be reached at his office (for appointments etc.) via phone at
(636) 980-2721.
NPI number for Dr Kevin Daugherty is 1548150360 and his current mailing address is 11157 E Maywood Ct, Effingham, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1548150360.
Healthcare Provider's Profile
| Full Name | Dr Kevin Daugherty |
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| Gender | Male |
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| Speciality | Optometrist |
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| Location | 1307 State Hwy K, O'fallon, Missouri |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1548150360
- Provider Enumeration Date: 07/03/2025
- Last Update Date: 07/03/2025
Medical Identifiers
Medical identifiers for Dr Kevin Daugherty such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548150360 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 2025023537 (Missouri) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kevin Daugherty is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Kevin Daugherty, OD
11157 E Maywood Ct,
Effingham, IL 62401-7429
Ph: (217) 821-0920 | Dr Kevin Daugherty, OD
1307 State Hwy K,
O'fallon, MO 63366
Ph: (636) 980-2721 |
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