Kennedy Vision PA
NPI 1104167345 · Optometrist · Pembroke Pines, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kennedy Vision PA is a Optometrist organization in Pembroke Pines, FL (NPI 1104167345).
Provider details
- NPI number
- 1104167345
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Caleb Kennedy, Optometrist/Owner(954) 430-8330
- License
- OPC4146 (FL)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- The Family Eye Site
Registry dates
- Enumerated
- 2013-03-13
- Last updated
- 2025-05-28
- Certified
- 2025-05-28
Frequently asked questions
- What is Kennedy Vision PA's NPI number?
- Kennedy Vision PA's National Provider Identifier (NPI) is 1104167345, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kennedy Vision PA?
- Kennedy Vision PA is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Kennedy Vision PA located?
- Kennedy Vision PA's practice location on file with NPPES is 18503 Pines Blvd Ste 205, Pembroke Pines, FL 33029-1405.
- What is Kennedy Vision PA's phone number?
- The practice phone number listed in the NPPES registry for Kennedy Vision PA is (954) 430-8330.
- Does Kennedy Vision PA accept Medicare?
- Kennedy Vision PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Kennedy Vision PA?
- The authorized official listed on Kennedy Vision PA's NPPES record is Caleb Kennedy, Optometrist/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kennedy Vision PA's NPI active?
- Yes — Kennedy Vision PA's NPI (1104167345) is active in the NPPES registry as of the last update on 2025-05-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.