Kennedy Vision Health Center, Llc is a Optometrist Center in Plymouth, Minnesota. It is situated at 10600 Old County Road 15, Plymouth and its contact number is 763-545-8850. The authorized person of Kennedy Vision Health Center, Llc is Dr. Anthony Charles Traverse
who is Doctor of the clinic and their contact number is 763-545-8850. Kennedy Vision Health Center, Llc Center have optometrists who can examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. Optometrists are eye health care professionals who are state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Center Profile:
Kennedy Vision Health Center, Llc Center speciality, address, contact phone number and fax are as below.
Patients can call the eye care center on the below given phone number for appointment.
Specialization:
Optometry
Clinic Address:
10600 Old County Road 15, Plymouth, Minnesota, 55441-6210
Phone:
763-545-8850
Fax:
763-544-1257
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Anthony Charles Traverse
Position:
Doctor
Contact Number:
763-545-8850
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Kennedy Vision Health Center, Llc Center are as mentioned below.
NPI Number:
1033203963
NPI Enumeration Date:
03 Oct, 2006
NPI Last Update On:
08 Dec, 2022
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kennedy Vision Health Center, Llc are as mentioned below.
Specialization
License Number
State
Status
Optometrist
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
01040808
Other
Minnesota
Preferred One
417R4KE
Other
Minnesota
Bcbs
DB1166
Other
Minnesota
Railroad Medicare
170285
Other
Minnesota
Ucare
99240
Other
Minnesota
Health Partners
2115782
Other
Minnesota
Medica
620020600
Medicaid
Minnesota
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Kennedy Vision Health Center, Llc 10600 Old County Road 15, Plymouth, Minnesota
Zip:
55441-6210
Phone Number:
763-545-8850
Fax Number:
763-544-1257
Patients can reach Kennedy Vision Health Center, Llc at 10600 Old County Road 15, Plymouth, Minnesota or can call to book an appointment on 763-545-8850. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
Comments/ Reviews:
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