Provider Type Icon

KENNEDY VISION PA NPI 1104167345


NPI Information

NPI: 1104167345
Provider Name: KENNEDY VISION PA

Doing Business As: THE FAMILY EYE SITE

Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
12208 PINES BLVD
PEMBROKE PINES, FL
ZIP 33026
Phone: (954) 441-1165
Get Directions

KENNEDY VISION PA is an optometrist in Pembroke Pines, FL. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. KENNEDY VISION PA NPI is 1104167345. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As The Family Eye Site.

The provider's business location address is:

12208 PINES BLVD
PEMBROKE PINES, FL
ZIP 33026-126
Phone: (954) 441-1165
Fax: (954) 441-0074

The provider's authorized official is Caleb Joseph Kennedy .
The authorized official title is Optometrist/owner and has the following contact phone number (954) 430-8330.

The enumeration date for this NPI number is 3/13/2013 and was last updated on 6/18/2020.


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
1152W00000XOptometristOPC4146FLORIDAYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.