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SCOTT A KENNEDY OD PC NPI 1053529008


NPI Information

NPI: 1053529008
Provider Name: SCOTT A KENNEDY OD PC

Former Legal Business Name: SCOTT A KENNEDY OD PC

Classification: Optometrist - 152WC0802X
Entity Type: Organization

Specialization: Corneal and Contact Management

Address:
122 N FRANKLIN ST
TITUSVILLE, PA
ZIP 16354
Phone: (814) 827-7931
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SCOTT A KENNEDY OD PC is a corneal and contact management optometrist in Titusville, PA. The provider is the professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. SCOTT A KENNEDY OD PC NPI is 1053529008. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Scott A Kennedy Od Pc.

The provider's business location address is:

122 N FRANKLIN ST
TITUSVILLE, PA
ZIP 16354-761
Phone: (814) 827-7931

The provider's authorized official is Scott A Kennedy .
The authorized official title is Sole Business Owner and has the following contact phone number (814) 827-7931.

The enumeration date for this NPI number is 5/21/2007 and was last updated on 2/5/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152WC0802XOptometristCorneal and Contact ManagementOEG000659PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10191050001MEDICARE NSCPENNSYLVANIA
2T30300MEDICARE UPINPENNSYLVANIA
3418623MEDICARE PINPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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