Dr Kennedy Hall, OD | |
1919 E Thomas Rd, Phoenix, AZ 85016-7710 | |
(602) 933-3937 | |
Not Available |
Full Name | Dr Kennedy Hall |
---|---|
Gender | Female |
Speciality | Optometrist - Pediatrics |
Location | 1919 E Thomas Rd, Phoenix, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528794716 | NPI | - | NPPES |
136936 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OTP-002611 (Arizona) | Secondary |
152WP0200X | Optometrist - Pediatrics | OTP-002611 (Arizona) | Primary |
Provider Name | Phoenix Children's Hospital |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1922112044 PECOS PAC ID: 0446278584 Enrollment ID: O20051107000704 |
Mailing Address | Practice Location Address |
---|---|
Dr Kennedy Hall, OD 2108 E Thomas Rd Ste 130, Phoenix, AZ 85016-0008 Ph: (602) 933-3124 | Dr Kennedy Hall, OD 1919 E Thomas Rd, Phoenix, AZ 85016-7710 Ph: (602) 933-3937 |
Moon Valley Eyecare Optometrist Medicare: Not Enrolled in Medicare Practice Location: 14435 N 7th St, Ste 104, Phoenix, AZ 85022 Phone: 602-993-2727 Fax: 602-449-0681 | |
Dr. Karly Baier, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 300 W Clarendon Ave Ste 150, Phoenix, AZ 85013 Phone: 602-283-4503 Fax: 844-965-9564 | |
Dr. Aleta Belinda Gong, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 16020 N 35th Ave, Phoenix, AZ 85053 Phone: 602-547-3255 | |
Optical Expressions Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 112 W Mcdowell Rd, Phoenix, AZ 85003 Phone: 602-254-3169 Fax: 602-256-7112 | |
Suzanne Streff, O.d. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 9617 N Metro Pkwy W, 1000, Phoenix, AZ 85051 Phone: 602-678-4395 Fax: 602-678-4396 | |
Dr. Lois Filipelli, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: Abc Children's Eye Specialists, 1010 E Mcdowell Rd, Ste 301, Phoenix, AZ 85006 Phone: 602-222-2234 | |
Dr. Peter Rosenberg, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3415 W Glendale Ave, Building B, Suite 11, Phoenix, AZ 85051 Phone: 602-973-5868 Fax: 602-973-6076 |