Paul R Kennedy is a Lansing, Michigan based male Optometrist with 29 years of experience in Optometry. He completed his graduation from Other in 1995. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Paul R Kennedy is 4901003763 for Optometry in Michigan. Paul R 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:
Paul R 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:
29+ years
Medical School Attended:
Other
Graduation Year:
1995
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
2117 E Grand River Ave, Lansing, Michigan, 48912-3231
Phone:
517-485-2213
Fax:
517-485-2220
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:
5597817585
Enrollment ID:
I20090722000626
NPI Number:
1013063114
NPI Enumeration Date:
25 Jan, 2007
NPI Last Update On:
18 Jan, 2021
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Paul R Kennedy are as mentioned below.
License Number
Specialization
State
Status
4901003763
Optometry
Michigan
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 Paul R Kennedy has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Bennett Optometry Llc (5193719367)
25
Other Medical Identifiers:
Other legacy medical identifiers associated with Paul R Kennedy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
944801636
Medicaid
Michigan
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 208177, Dallas, Texas
Zip:
75320-8177
Phone Number:
636-200-4393
Fax Number:
636-527-0766
Patients can reach Paul R Kennedy at 2117 E Grand River Ave, Lansing, Michigan or can call to book an appointment on 517-485-2213. 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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