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NPI · 1255165932 · NPPES-sourced

Kennedy Vision Health Center, LLC

ActiveOptometrist
NPI Number
1255165932
Type 2 · Organisation
Taxonomy Code
152W00000X
Contact
(763) 545-8850
Primary practice line
Last Updated
Enumerated
Primary practice addressMN · 55330-0139
9075 Quantrelle Ave Ne Ste 300Otsego, MN 55330-0139
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About this NPIWhat this record shows.

NPI 1255165932 is registered to Kennedy Vision Health Center, LLC, a healthcare organisation classified as "Optometrist" and located at 9075 Quantrelle Ave Ne Ste 300 in Otsego, Minnesota. The organisation's authorised official is Anthony Traverse. The organisation has been enumerated in the NPI registry since 2024.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment 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.

DME Supplier

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 1255165932 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.

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Quick facts

Provider typeOrganisation
Taxonomy152W00000X
Last updated
Enumerated
StatusActive
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