OrganizationActive
Kip Newell OD LLC
NPI 1205018413 · Optometrist · Upper Sandusky, OH
Provider details
- NPI number
- 1205018413
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Mary Newell, Office Manager(419) 209-0540
- License
- 4617 T1363 (OH)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
131 W Wyandot Ave
Upper Sandusky, OH 43351-1348
Phone: (419) 209-0540
Fax: (419) 209-0540
Street-level locationGet directions
Mailing address
131 W Wyandot Ave
Upper Sandusky, OH 43351-1348
Registry dates
- Enumerated
- 2007-11-29
- Last updated
- 2011-05-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.