Stacy Kennedy, OD | |
1801 Manhattan Blvd, U, Harvey, LA 70058-7300 | |
(504) 367-3930 | |
Not Available |
Full Name | Stacy Kennedy |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 1801 Manhattan Blvd, Harvey, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720149016 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 715 (Louisiana) | Primary |
Provider Name | Eye-deal Optical, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1427289156 PECOS PAC ID: 4284772484 Enrollment ID: O20091109000432 |
Mailing Address | Practice Location Address |
---|---|
Stacy Kennedy, OD 11103 West Ave, Ste 6, San Antonio, TX 78213-1370 Ph: (210) 524-6803 | Stacy Kennedy, OD 1801 Manhattan Blvd, U, Harvey, LA 70058-7300 Ph: (504) 367-3930 |
Optical One Optometrist Medicare: Medicare Enrolled Practice Location: 2645 Manhattan Blvd Ste E2b, Harvey, LA 70058 Phone: 504-309-8619 Fax: 504-218-4190 | |
Dr.norwood R. Kelly Jr.apoc Optometrist Medicare: Medicare Enrolled Practice Location: 2010 Woodmere Blvd, Suite H, Harvey, LA 70058 Phone: 504-452-0390 | |
Carolyn Tran, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2645 Manhattan Blvd Ste E2b, Harvey, LA 70058 Phone: 504-309-8619 | |
Norwood R. Kelly Jr., O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 2010 Woodmere Blvd, Suite H, Harvey, LA 70058 Phone: 504-371-8044 Fax: 504-371-8042 | |
Envy Eyecare Llc Optometrist Medicare: Medicare Enrolled Practice Location: 1501 Manhattan Blvd, Harvey, LA 70058 Phone: 504-366-3279 | |
Richard Rockwell, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1801 Manhattan Blvd, Ste U, Harvey, LA 70058 Phone: 504-367-3930 Fax: 504-367-2278 |