Dr David Lawrence Kennedy, OD | |
10600 Old County Road 15, Plymouth, MN 55441-6210 | |
(763) 545-8850 | |
(763) 544-1257 |
Full Name | Dr David Lawrence Kennedy |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 50 Years |
Location | 10600 Old County Road 15, Plymouth, Minnesota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437250073 | NPI | - | NPPES |
417R6KE | Other | MN | BCBS |
2202707 | Other | MN | MEDICA |
963723100 | Medicaid | MN | |
977521011194 | Other | MN | PREFERRED ONE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | LF1587000 (Minnesota) | Primary |
152WC0802X | Optometrist - Corneal And Contact Management | LD1587000 (Minnesota) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kennedy Vision Health Center, Llc | 9739173659 | 6 |
Provider Name | Kennedy Vision Health Center, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1033203963 PECOS PAC ID: 9739173659 Enrollment ID: O20040413001418 |
Mailing Address | Practice Location Address |
---|---|
Dr David Lawrence Kennedy, OD 10600 Old County Road 15, Plymouth, MN 55441-6210 Ph: (763) 545-8850 | Dr David Lawrence Kennedy, OD 10600 Old County Road 15, Plymouth, MN 55441-6210 Ph: (763) 545-8850 |
Grant Sealock, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4455 Highway 169 N, Plymouth, MN 55442 Phone: 763-559-7358 Fax: 763-559-2167 | |
Kenndy Vision Health Center Optometrist Medicare: Medicare Enrolled Practice Location: 10600 Old County Road 15, Plymouth, MN 55441 Phone: 763-545-8850 Fax: 763-544-1257 | |
John Mueller Od Pc Optometrist Medicare: Medicare Enrolled Practice Location: 4190 Vinewood Ln N Ste 109, Plymouth, MN 55442 Phone: 763-559-5522 Fax: 763-559-7122 | |
Nicole Ann Solem, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4455 Highway 169 N, Plymouth, MN 55442 Phone: 763-559-7358 | |
Dr. Kelsey Moore, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 10600 Old County Road 15, Plymouth, MN 55441 Phone: 763-545-8850 Fax: 763-544-1257 | |
Visionsmith Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4190 Vinewood Ln N, Suite 109, Plymouth, MN 55442 Phone: 763-559-5522 Fax: 763-559-7122 | |
Dr. Nadia Siddiqi Khan, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3007 Harbor Ln N Ste 1500, Plymouth, MN 55447 Phone: 763-559-4669 Fax: 763-559-4767 |