KENNETH C MCCANDLESS (O.D.) – Optometrist, NPI 1063426740

KENNETH C MCCANDLESS (O.D.) is a healthcare provider. based in Las vegas, Nevada. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 553 (NV). The NPI Number for KENNETH C MCCANDLESS (O.D.) is 1063426740

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
KENNETH C MCCANDLESS (O.D.)
NPI
1063426740
Phone
(702) 733-2020
Address
2110 E FLAMINGO RD
Enumeration Date
28 July 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
7027332020
Graduation Year
2006 (20 years ago)
PAC ID
8123024452
Group Practice PAC ID
6002894680
Professional Enrollment ID
I20061010000612
Address ID
NV891195193LA2110XRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

386 OPTOMETRY in NV

Loading map...

Provider Addresses for KENNETH C MCCANDLESS (O.D.)

  • AB Clinical Trials, 2110, East Flamingo Road, Filipino Town, Winchester, Clark County, Nevada, 89119, United States

    SUITE 210

    LAS VEGAS, NV 891195190

    Phone: (702) 733-2020

    Fax: (702) 794-2797

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $514.

Total Amount is formed as General ($514) + Research ($0) + Ownership ($0) = $514.

Last reported payment date: 2024-11-15 • Largest payer in this snapshot: Amgen Inc. ($129).

Total Amount

$514

General + Research + Ownership

Payments

18

Total payment records

General Amount

$514

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-15

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-10-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20061010000612IOptometryNVTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 89119)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002894680View full group profile
NameSpecialtyState
O P H T H A L M O L O G YNV
O P T O M E T R YCA
O P H T H A L M O L O G YNV
O P H T H A L M O L O G YTN
O P H T H A L M O L O G YNV
O P H T H A L M O L O G YNV
O P H T H A L M O L O G YPA
O P H T H A L M O L O G YNV

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What NPI should I save for KENNETH C MCCANDLESS (O.D.)?
Save NPI 1063426740 if you need a stable reference for KENNETH C MCCANDLESS (O.D.).
Is KENNETH C MCCANDLESS (O.D.)'s NPI currently valid?
The extract we use shows KENNETH C MCCANDLESS (O.D.) as active.
What does KENNETH C MCCANDLESS (O.D.) treat or focus on?
Patients typically see KENNETH C MCCANDLESS (O.D.) under the specialty Optometrist. Clinical services aligned with this taxonomy classification.
Does KENNETH C MCCANDLESS (O.D.) practice in Nevada?
You will see Las Vegas, Nevada on file for KENNETH C MCCANDLESS (O.D.) alongside any extra practice locations.
What if Las Vegas, Nevada seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

Similar Providers

9435 W RUSSELL RD
NPI: 1831193663
4840, East Bonanza Road, Las Vegas, Clark County, Nevada, 89110, United States
NPI: 1649276312
9455 W Russell Rd Ste 100
NPI: 1346249935
2598, Windmill Parkway, Henderson, Clark County, Nevada, 89074, United States
NPI: 1356340863
East Tropicana Avenue, East Las Vegas, Whitney, Clark County, Nevada, 89112, United States
NPI: 1558353912
West Sahara Avenue, The Lakes, Las Vegas, Clark County, Nevada, 89117, United States
NPI: 1427045608
6134, West Lake Mead Boulevard, Michael Way, Las Vegas, Clark County, Nevada, 89108, United States
NPI: 1023007416
Southbound Pecos after McLeod, Pecos–McLeod Interconnect, Winchester, Clark County, Nevada, 89121, United States
NPI: 1922099639
200 North, St. George, Washington County, Utah, 84771, United States
NPI: 1457334740