Leroy Kincannon, O.D.
NPI 1528173846 · Optometrist · Grand Rapids, MN
Enrolled with Medicare as Practitioner - Optometry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Leroy Kincannon, O.D. is a Optometrist provider in Grand Rapids, MN (NPI 1528173846).
Provider details
- NPI number
- 1528173846
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 2466 (MN)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Registry dates
- Enumerated
- 2006-08-19
- Last updated
- 2007-07-08
Frequently asked questions
- What is Leroy Kincannon's NPI number?
- Leroy Kincannon's National Provider Identifier (NPI) is 1528173846, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Leroy Kincannon's specialty?
- Leroy Kincannon is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Leroy Kincannon located?
- Leroy Kincannon's practice location on file with NPPES is 1542 Golf Course Rd, Grand Rapids, MN 55744-9603.
- What is Leroy Kincannon's phone number?
- The practice phone number listed in the NPPES registry for Leroy Kincannon is (218) 326-3433.
- Does Leroy Kincannon accept Medicare?
- Leroy Kincannon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Leroy Kincannon's NPI active?
- Yes — Leroy Kincannon's NPI (1528173846) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.