Kennedy Vision Health Center, LLC
About this NPIWhat this record shows.
NPI 1033203963 is registered to Kennedy Vision Health Center, LLC, a healthcare organisation classified as "Optometrist" and located at 10600 Old County Road 15 in Plymouth, Minnesota. The organisation's authorised official is Anthony Traverse. The organisation has been enumerated in the NPI registry since 2006.
Your brand here.
Secondary identifiers
Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.
Medicaid
Other
- DB1166MN· Issued by RAILROAD MEDICARE
- 01040808MN· Issued by PREFERRED ONE
- 2115782MN· Issued by MEDICA
- 417R4KEMN· Issued by BCBS
- 170285MN· Issued by UCARE
- 99240MN· Issued by HEALTH PARTNERS
Source: NPPES public registry.
Medicare enrollment
This provider holds 2 Medicare enrollments on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.
Part B Supplier
- O20040413001418Clinic/Group PracticeMN
DME Supplier
- O20100930097353Physician - OptometristMN
Source: CMS PECOS public enrollment file.
Insurance & acceptsHow to confirm coverage.
The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Kennedy Vision Health Center, LLC accepts. To confirm in-network status with your specific health plan, contact Kennedy Vision Health Center, LLC directly at (763) 545-8850.
Frequently asked
Yes. NPI 1033203963 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.
Optometrist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.
The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (763) 545-8850.
An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Kennedy Vision Health Center, LLC is a Type-2 organisational NPI.