What is Kennedy Vision Health Center, LLC's NPI number?

Kennedy Vision Health Center, LLC's National Provider Identifier (NPI) is 1255165932, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What type of organization is Kennedy Vision Health Center, LLC?

Kennedy Vision Health Center, LLC is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).

Where is Kennedy Vision Health Center, LLC located?

Kennedy Vision Health Center, LLC's practice location on file with NPPES is 9075 Quantrelle Ave Ne Ste 300, Otsego, MN 55330-0139.

What is Kennedy Vision Health Center, LLC's phone number?

The practice phone number listed in the NPPES registry for Kennedy Vision Health Center, LLC is (763) 545-8850.

Does Kennedy Vision Health Center, LLC accept Medicare?

Kennedy Vision Health Center, LLC 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 Health Center, LLC?

The authorized official listed on Kennedy Vision Health Center, LLC's NPPES record is Anthony Traverse, Od/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.

Is Kennedy Vision Health Center, LLC's NPI active?

Yes — Kennedy Vision Health Center, LLC's NPI (1255165932) is active in the NPPES registry as of the last update on 2024-08-27.

OrganizationActiveAccepts Medicare

Kennedy Vision Health Center, LLC

NPI 1255165932 · Optometrist · Otsego, MN

Kennedy Vision Health Center, LLC is a Optometrist organization in Otsego, MN (NPI 1255165932).

Provider details

NPI number: 1255165932
Entity type: Organization
Primary specialty: OptometristEye and Vision Services Providers
Organization subpart: No
Authorized official: Anthony Traverse, Od/Owner(763) 545-8850

Practice location

9075 Quantrelle Ave Ne Ste 300

Otsego, MN 55330-0139

Phone: (763) 545-8850

Fax: (763) 441-7631

Approximate (ZIP-level) locationGet directions

More MN providers

Mailing address

10600 Old County Road 15

Plymouth, MN 55441-6200

Specialties & taxonomies

OptometristPrimary152W00000X
Eye and Vision Services Providers

Enrolled with Medicare as Dme Supplier - Physician - Optometrist · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Profile Score

Established profile(57/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
2 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.

Enumerated: 2024-08-27
Last updated: 2024-08-27
Certified: 2024-08-27

Frequently asked questions

What is Kennedy Vision Health Center, LLC's NPI number?: Kennedy Vision Health Center, LLC's National Provider Identifier (NPI) is 1255165932, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What type of organization is Kennedy Vision Health Center, LLC?: Kennedy Vision Health Center, LLC is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
Where is Kennedy Vision Health Center, LLC located?: Kennedy Vision Health Center, LLC's practice location on file with NPPES is 9075 Quantrelle Ave Ne Ste 300, Otsego, MN 55330-0139.
What is Kennedy Vision Health Center, LLC's phone number?: The practice phone number listed in the NPPES registry for Kennedy Vision Health Center, LLC is (763) 545-8850.
Does Kennedy Vision Health Center, LLC accept Medicare?: Kennedy Vision Health Center, LLC 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 Health Center, LLC?: The authorized official listed on Kennedy Vision Health Center, LLC's NPPES record is Anthony Traverse, Od/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
Is Kennedy Vision Health Center, LLC's NPI active?: Yes — Kennedy Vision Health Center, LLC's NPI (1255165932) is active in the NPPES registry as of the last update on 2024-08-27.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Profile Score

Frequently asked questions