Kedzymac Enterprises, LLC
NPI 1376272369 · Optometrist · Cleveland, OK
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kedzymac Enterprises, LLC is a Optometrist organization in Cleveland, OK (NPI 1376272369).
Provider details
- NPI number
- 1376272369
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Lisa Kedzuf-Mcginnis, Optometrist(918) 520-4344
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
4 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
- Cleveland Vision Center
- Doing business as
- Cleveland Vision Center
Registry dates
- Enumerated
- 2022-06-06
- Last updated
- 2024-04-19
- Certified
- 2022-06-14
Frequently asked questions
- What is Kedzymac Enterprises, LLC's NPI number?
- Kedzymac Enterprises, LLC's National Provider Identifier (NPI) is 1376272369, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kedzymac Enterprises, LLC?
- Kedzymac Enterprises, LLC is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Kedzymac Enterprises, LLC located?
- Kedzymac Enterprises, LLC's practice location on file with NPPES is 107 S Broadway St, Cleveland, OK 74020-4614.
- What is Kedzymac Enterprises, LLC's phone number?
- The practice phone number listed in the NPPES registry for Kedzymac Enterprises, LLC is (918) 385-2245.
- Does Kedzymac Enterprises, LLC accept Medicare?
- Kedzymac Enterprises, 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 Kedzymac Enterprises, LLC?
- The authorized official listed on Kedzymac Enterprises, LLC's NPPES record is Lisa Kedzuf-Mcginnis, Optometrist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kedzymac Enterprises, LLC's NPI active?
- Yes — Kedzymac Enterprises, LLC's NPI (1376272369) is active in the NPPES registry as of the last update on 2024-04-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.