Kenneth Kisamore, OD
Optometrist · Rockville, MD
Kenneth Kisamore, OD is an optometrist with a practice address in Rockville, Maryland, and NPI 1154364800, issued on Jun 13, 2006. Check the license (Maryland TA0917, as entered in NPPES) with the Maryland board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Kenneth Kisamore
- Credential
- OD
- Primary taxonomy
- Optometrist 152W00000X
- License numbers
- TA0917 MD
0618001710 VA
Self-reported in NPPES; status is on the state search - Practice location
- 14929 Shady Grove RD Unit K, Rockville, MD 20850
- Phone
- (301) 424-1050
- Enumerated
- Jun 13, 2006
- Record last updated
- Jul 24, 2024
- Fax
- (301) 424-3184
- Medicare enrollment
- Enrolled (PECOS I20070305000351); accepts Medicare assignment
- Medical or professional school
- Pennsylvania State University College Of Medicine, 1985
- Entity
- Type 1 · individual
8 nearest optometrist records → All 924 in Maryland → Look up another NPI →
Also registered at 14929 Shady Grove RD Unit K
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Kimoanh Thai, O.D.Optometrist1992776926
Verify Kenneth Kisamore in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Maryland board licenses this profession
Search for license TA0917Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $217.01
4 payments; by number, the most common kind was food and beverage; the largest payer was CooperVision Inc. The 34,453 providers of this specialty with any payment received $769.99 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Rockville Optometry, LLCRockville, MD
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Kenneth Kisamore among 924 optometrist records in Maryland
Kenneth Kisamore, OD is one of 924 optometrist records with a practice address in Maryland. 72% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 7% of them.
- NPI issued2006 · 7% of these records are older, 56% newer
- In a Medicare fileYes · 72% of these records are
- In the CMS Doctors and Clinicians fileYes · 56% of these records are
- Graduated1985 · median 2005 among the 517 with a school on file
- Record last updated2024 · 63% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 152W00000X and a Maryland practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Optometrist providers in Maryland
There are 924 optometrist records in Maryland.
All 924 in Maryland → Every provider in Rockville → Optometrist nationwide →
The 8 optometrist records with the nearest ZIP codes
- David Brammer, O.D.Rockville, MD 208501609952530
- Rosa Dastrange, O.D.Rockville, MD 208501083925457
- Alan Glazier, O.D.Rockville, MD 208501093993420
- Eric Jan, ODRockville, MD 208501285862110
- Macy Majid, ODRockville, MD 208501801787510
- Wendy Rothman, O.D.Rockville, MD 208501336240480
- Lauren Rubin, O.D.Rockville, MD 208501801097027
- Kimoanh Thai, O.D.Rockville, MD 208501992776926
Common questions
What is Kenneth Kisamore, OD's NPI number?
Kenneth Kisamore, OD's National Provider Identifier (NPI) is 1154364800, issued on Jun 13, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Kenneth Kisamore, OD located?
The NPPES record lists a practice address at 14929 Shady Grove RD Unit K, Rockville, MD, 20850. Phone: (301) 424-1050. Providers update this record themselves, so call before visiting.
How can I verify Kenneth Kisamore, OD's license?
NPPES lists Maryland license number TA0917, as entered by the provider. Search the Maryland board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.