Kennedy Vision Health Center, LLC
NPI 1255165932 · Optometrist · Otsego, MN
Enrolled with Medicare as Dme Supplier - Physician - Optometrist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
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
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
1 yr 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
Registry dates
- 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.