Mr. Warren Leigh Kennedy is a Modesto, California based male Optometrist with 47 years of experience in Optometry. He completed his graduation from Other in 1977. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mr. Warren Leigh Kennedy is 6390TPA for Optometry in California. Mr. Warren Leigh Kennedy 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. He completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Mr. Warren Leigh Kennedy speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
OD
Experience:
47+ years
Medical School Attended:
Other
Graduation Year:
1977
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
1401 Sylvan Ave, Modesto, California, 95355-1367
Phone:
209-527-6640
Fax:
209-527-5489
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 are as mentioned below.
PAC ID:
6002869245
Enrollment ID:
I20050228000551
NPI Number:
1629069307
NPI Enumeration Date:
02 Nov, 2005
NPI Last Update On:
06 Sep, 2012
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Warren Leigh Kennedy are as mentioned below.
License Number
Specialization
State
Status
6390TPA
Optometry
California
Primary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Mr. Warren Leigh Kennedy has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Daily, Kennedy And Young Optometry (6507810967)
3
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Warren Leigh Kennedy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
12100
Other
California
MEDICAL EYE SERVICES
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1401 Sylvan Ave, Modesto, California
Zip:
95355-1367
Phone Number:
209-527-6640
Fax Number:
209-527-5489
Patients can reach Mr. Warren Leigh Kennedy at 1401 Sylvan Ave, Modesto, California or can call to book an appointment on 209-527-6640. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.