| Doctor Name: | DR. KENNETH ROBERT WESTCOTT |
| NPI Number: | 1013947068 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | O.D. |
| License Number: | 0618000528 |
| Business Practice Address: | 1417 Battlefield Blvd N Suite 220 Chesapeake, VA - 233204516 |
| Business Phone Number: | 7574103005 |
| Business Fax Number: | 7574103335 |
| Mailing Address: | 1417 Battlefield Blvd N, Suite 170 CHESAPEAKE |
| State: | VA |
| Postal Code: | 233204516 |
| Phone Number: | 7574103005 |
| Fax Number: | 7574103335 |
| NPI Enumeration Date: | 07/04/2006 |
| NPI Last Update Date: | 05/06/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 152WV0400X |
| License Number: | 0618000528 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Optometrist |
| Taxonomy Specialization: | Vision Therapy |
| Taxonomy Definition: | Optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions. |